Provider Demographics
NPI:1790144046
Name:ADVOCACY HOME NURSING, INC
Entity Type:Organization
Organization Name:ADVOCACY HOME NURSING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/CHIEF EXECUTIVE OFF
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:707-573-0223
Mailing Address - Street 1:1400 NORTH DUTTON AVENUE, SUITE 20
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95401
Mailing Address - Country:US
Mailing Address - Phone:707-573-0223
Mailing Address - Fax:707-573-0222
Practice Address - Street 1:1400 NORTH DUTTON AVENUE, SUITE 20
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95401
Practice Address - Country:US
Practice Address - Phone:707-573-0223
Practice Address - Fax:707-573-0222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health