Provider Demographics
NPI:1467467100
Name:D & E ADVANCE HOME HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:D & E ADVANCE HOME HEALTH CARE SERVICES INC
Other - Org Name:ADVANCE HOME HEALTH CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:OJIRIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-298-1000
Mailing Address - Street 1:407 N CEDAR RIDGE DR STE 310
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-3190
Mailing Address - Country:US
Mailing Address - Phone:972-298-1000
Mailing Address - Fax:972-298-3105
Practice Address - Street 1:407 N CEDAR RIDGE DR STE 310
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-3190
Practice Address - Country:US
Practice Address - Phone:972-298-1000
Practice Address - Fax:972-298-3105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010044251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
677961Medicare ID - Type Unspecified