Provider Demographics
NPI:1659588309
Name:ADVANCED BUSINESS CONGLOMERATE, INC.
Entity Type:Organization
Organization Name:ADVANCED BUSINESS CONGLOMERATE, INC.
Other - Org Name:BENEVOLENT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSHANN
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:626-676-4168
Mailing Address - Street 1:442 S ROSEMEAD BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-4980
Mailing Address - Country:US
Mailing Address - Phone:626-698-1950
Mailing Address - Fax:
Practice Address - Street 1:442 S ROSEMEAD BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-4980
Practice Address - Country:US
Practice Address - Phone:626-698-1950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1659588309Medicaid
CA059061Medicare Oscar/Certification