Provider Demographics
NPI:1568527810
Name:ADVANTAGE NURSING SERVICES INC
Entity Type:Organization
Organization Name:ADVANTAGE NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ACCOUNTING
Authorized Official - Prefix:MR
Authorized Official - First Name:KATHEY
Authorized Official - Middle Name:
Authorized Official - Last Name:VERBECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-428-2328
Mailing Address - Street 1:2127 INNERBELT BUSINESS CENTER DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63114-5718
Mailing Address - Country:US
Mailing Address - Phone:314-991-3166
Mailing Address - Fax:314-997-2404
Practice Address - Street 1:15154 CICERO AVE
Practice Address - Street 2:
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452-2402
Practice Address - Country:US
Practice Address - Phone:708-535-3472
Practice Address - Fax:708-535-3902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO855177002Medicaid
MO285177002Medicaid
MO265177006Medicaid
MO945177004Medicaid