Provider Demographics
NPI:1609225317
Name:ADVID CARE INC
Entity Type:Organization
Organization Name:ADVID CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:CONRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:NKUO
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:240-708-9248
Mailing Address - Street 1:1629 K ST NW
Mailing Address - Street 2:300
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1602
Mailing Address - Country:US
Mailing Address - Phone:240-708-9248
Mailing Address - Fax:
Practice Address - Street 1:1629 K ST NW
Practice Address - Street 2:300
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1602
Practice Address - Country:US
Practice Address - Phone:443-416-3529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health