Provider Demographics
NPI:1437584554
Name:ADVANTAGE HOME CARE MANAGEMENT INC.
Entity Type:Organization
Organization Name:ADVANTAGE HOME CARE MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:HASTINGS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-569-8400
Mailing Address - Street 1:17515 W 9 MILE RD
Mailing Address - Street 2:STE 980
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4403
Mailing Address - Country:US
Mailing Address - Phone:248-569-8400
Mailing Address - Fax:248-569-5070
Practice Address - Street 1:17515 W 9 MILE RD
Practice Address - Street 2:STE 980
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4403
Practice Address - Country:US
Practice Address - Phone:248-569-8400
Practice Address - Fax:248-569-5070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health