Provider Demographics
NPI:1851523724
Name:ADVANCED HOME HEALTH TEAM, INC
Entity Type:Organization
Organization Name:ADVANCED HOME HEALTH TEAM, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:YEVGENIY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYEROVICH
Authorized Official - Suffix:
Authorized Official - Credentials:RN,
Authorized Official - Phone:215-856-4148
Mailing Address - Street 1:10125 VERREE RD
Mailing Address - Street 2:STE100
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-3611
Mailing Address - Country:US
Mailing Address - Phone:215-856-4148
Mailing Address - Fax:215-676-6856
Practice Address - Street 1:10125 VERREE RD
Practice Address - Street 2:STE100
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19116-3611
Practice Address - Country:US
Practice Address - Phone:215-856-4148
Practice Address - Fax:215-676-6856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03680501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health