Provider Demographics
NPI:1568633923
Name:ADVANTAGE HOME HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:ADVANTAGE HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:GEARY
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:617-686-3836
Mailing Address - Street 1:1041 PEARL ST
Mailing Address - Street 2:UNIT H
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5400
Mailing Address - Country:US
Mailing Address - Phone:508-584-2060
Mailing Address - Fax:508-584-2061
Practice Address - Street 1:1041 PEARL ST
Practice Address - Street 2:UNIT H
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-5400
Practice Address - Country:US
Practice Address - Phone:508-584-2060
Practice Address - Fax:508-584-2061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health