Provider Demographics
NPI:1609472356
Name:ADVANCE HOME HEALTH LLC
Entity Type:Organization
Organization Name:ADVANCE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:L
Authorized Official - Last Name:SESAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:484-461-3950
Mailing Address - Street 1:1117 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:SECANE
Mailing Address - State:PA
Mailing Address - Zip Code:19018-2029
Mailing Address - Country:US
Mailing Address - Phone:484-461-3950
Mailing Address - Fax:484-461-3950
Practice Address - Street 1:1117 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:SECANE
Practice Address - State:PA
Practice Address - Zip Code:19018-2029
Practice Address - Country:US
Practice Address - Phone:484-461-3950
Practice Address - Fax:484-461-3950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care