Provider Demographics
NPI:1841232402
Name:ADVANCED HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:ADVANCED HOME HEALTH SERVICES, INC.
Other - Org Name:ADVANCED HOME HEALTH SERVICES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:FUNMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ONIPEDE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:281-988-0800
Mailing Address - Street 1:2950 S GESSNER RD STE 215
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3774
Mailing Address - Country:US
Mailing Address - Phone:281-988-0800
Mailing Address - Fax:281-940-2977
Practice Address - Street 1:2950 S GESSNER RD STE 215
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3774
Practice Address - Country:US
Practice Address - Phone:281-988-0800
Practice Address - Fax:281-940-2977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012027251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001004505Medicaid
TX679061Medicare Oscar/Certification
TX679061Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER