Provider Demographics
NPI:1689995391
Name:ADVANTAGE HOME AND COMMUNITY CARE INC.
Entity Type:Organization
Organization Name:ADVANTAGE HOME AND COMMUNITY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCGUINN
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:828-225-0810
Mailing Address - Street 1:160 WHITE ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-5294
Mailing Address - Country:US
Mailing Address - Phone:828-696-2449
Mailing Address - Fax:828-696-2514
Practice Address - Street 1:160 WHITE ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-5294
Practice Address - Country:US
Practice Address - Phone:828-696-2449
Practice Address - Fax:828-696-2514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8702150Medicaid