Provider Demographics
NPI:1821528811
Name:ADVANCE HEALTH MANAGEMENT LLC
Entity Type:Organization
Organization Name:ADVANCE HEALTH MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-944-9618
Mailing Address - Street 1:1805 E SHORE DR APT A1
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-7614
Mailing Address - Country:US
Mailing Address - Phone:517-944-9618
Mailing Address - Fax:
Practice Address - Street 1:1805 E SHORE DR APT A1
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-7614
Practice Address - Country:US
Practice Address - Phone:517-944-9618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care