Provider Demographics
NPI:1598701716
Name:ADVANCED HH, LLC
Entity Type:Organization
Organization Name:ADVANCED HH, LLC
Other - Org Name:ADVANCED HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RENKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-596-8161
Mailing Address - Street 1:1064 EAST IRELAND
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-6102
Mailing Address - Country:US
Mailing Address - Phone:830-379-8161
Mailing Address - Fax:830-379-6388
Practice Address - Street 1:1064 E IRELAND ST
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155
Practice Address - Country:US
Practice Address - Phone:830-379-8161
Practice Address - Fax:830-379-6388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX018542251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677247Medicare ID - Type UnspecifiedMEDICARE