Provider Demographics
NPI:1689172223
Name:ADVANTA CARE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:ADVANTA CARE HOME HEALTH SERVICES, INC.
Other - Org Name:ASPIRE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MINA
Authorized Official - Middle Name:
Authorized Official - Last Name:AHUJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-299-1250
Mailing Address - Street 1:3524 BREAKWATER AVE STE A-130
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-2239
Mailing Address - Country:US
Mailing Address - Phone:510-359-4556
Mailing Address - Fax:510-315-3100
Practice Address - Street 1:3524 BREAKWATER AVE STE A-130
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-2239
Practice Address - Country:US
Practice Address - Phone:510-359-4556
Practice Address - Fax:510-315-3100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-29
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health