Provider Demographics
NPI:1659557759
Name:ADVANTAGE A PLUS HOME HEALTHCARE, INC
Entity Type:Organization
Organization Name:ADVANTAGE A PLUS HOME HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:KURUVILA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-226-3999
Mailing Address - Street 1:4230 LBJ FREEWAY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-5806
Mailing Address - Country:US
Mailing Address - Phone:972-226-3999
Mailing Address - Fax:972-226-3888
Practice Address - Street 1:4230 LBJ FREEWAY
Practice Address - Street 2:SUITE 107
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-5806
Practice Address - Country:US
Practice Address - Phone:972-226-3999
Practice Address - Fax:972-226-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX012372251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX458457Medicare Oscar/Certification