Provider Demographics
NPI:1760797732
Name:ADVANCED FAMILY HOME HEALTH 1, INC.
Entity Type:Organization
Organization Name:ADVANCED FAMILY HOME HEALTH 1, INC.
Other - Org Name:ADVANCED FAMILY HOME HEALTH 1, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEKSANDR
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-392-3896
Mailing Address - Street 1:3295 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1565
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3295 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1565
Practice Address - Country:US
Practice Address - Phone:847-392-3896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011260251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health