Provider Demographics
NPI:1760818991
Name:ADVANCED HEALTH CARE PLUS, LLC
Entity Type:Organization
Organization Name:ADVANCED HEALTH CARE PLUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAGAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-396-8031
Mailing Address - Street 1:1925 E DUBLIN GRANVILLE RD STE 236
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3517
Mailing Address - Country:US
Mailing Address - Phone:614-396-8031
Mailing Address - Fax:614-396-8576
Practice Address - Street 1:1925 E DUBLIN GRANVILLE RD STE 236
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3517
Practice Address - Country:US
Practice Address - Phone:614-396-8031
Practice Address - Fax:614-396-8576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2219131251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health