Provider Demographics
NPI:1639305477
Name:ADVANCED HOME & COMMUNITY CARE, INC.
Entity Type:Organization
Organization Name:ADVANCED HOME & COMMUNITY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIBART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-343-0345
Mailing Address - Street 1:3141 CRESTWATER STREET
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78415-2441
Mailing Address - Country:US
Mailing Address - Phone:361-343-0345
Mailing Address - Fax:
Practice Address - Street 1:3141 CRESTWATER STREET
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78415-2441
Practice Address - Country:US
Practice Address - Phone:361-343-0345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health