Provider Demographics
NPI:1770662884
Name:AADVANTAGE HOME MEDICAL, INC.
Entity Type:Organization
Organization Name:AADVANTAGE HOME MEDICAL, INC.
Other - Org Name:RORY CHIN ADVANTAGE HME MEDICAL
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RORY
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-248-0056
Mailing Address - Street 1:3111 S VALLEY VIEW BLVD
Mailing Address - Street 2:UNIT U103
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-8317
Mailing Address - Country:US
Mailing Address - Phone:702-248-0056
Mailing Address - Fax:702-889-0059
Practice Address - Street 1:3111 S VALLEY VIEW BLVD
Practice Address - Street 2:UNIT U103
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8317
Practice Address - Country:US
Practice Address - Phone:702-248-0056
Practice Address - Fax:702-889-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVH13-00284-3-124861332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100508858Medicaid
NV100508858Medicaid
NV5626610001Medicare NSC