Provider Demographics
NPI:1477768521
Name:AADVANTAGE HEALTH & HOSPICE CARE SYSTEMS, INC.
Entity Type:Organization
Organization Name:AADVANTAGE HEALTH & HOSPICE CARE SYSTEMS, INC.
Other - Org Name:AADVANTAGE HEALTH & HOSPICE CARE SYSTEMS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FEFI
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-868-5122
Mailing Address - Street 1:9100 SOUTHWEST FWY STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1523
Mailing Address - Country:US
Mailing Address - Phone:713-780-0150
Mailing Address - Fax:713-772-0146
Practice Address - Street 1:9100 SOUTHWEST FWY STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1523
Practice Address - Country:US
Practice Address - Phone:832-868-5122
Practice Address - Fax:281-208-0179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 3747P1801X
TX012488251E00000X, 251F00000X, 251G00000X, 253Z00000X, 315D00000X
TX588128251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community BasedGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care
No315D00000XNursing & Custodial Care FacilitiesHospice, InpatientGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-1644OtherMEDICARE PROVIDER NUMBER
TX001018510Medicaid