Provider Demographics
NPI:1528393774
Name:A-1 ADVANTAGE HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:A-1 ADVANTAGE HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:SAGULLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-953-1500
Mailing Address - Street 1:4635 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7169
Mailing Address - Country:US
Mailing Address - Phone:281-953-1500
Mailing Address - Fax:281-953-1501
Practice Address - Street 1:4635 SOUTHWEST FWY
Practice Address - Street 2:SUITE 301
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7169
Practice Address - Country:US
Practice Address - Phone:281-953-1500
Practice Address - Fax:281-953-1501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-06
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
747484Medicare Oscar/Certification