Provider Demographics
NPI:1669839825
Name:ADVANCED HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:ADVANCED HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:BHUPINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:BHANDARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:209-637-9810
Mailing Address - Street 1:35 E 10TH ST
Mailing Address - Street 2:STE K1-K2
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-4058
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:35 E 10TH ST
Practice Address - Street 2:STE K1-K2
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-4058
Practice Address - Country:US
Practice Address - Phone:209-637-9810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-19
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health