Provider Demographics
NPI:1902818370
Name:ADVANTAGE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:ADVANTAGE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRITTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:618-392-4624
Mailing Address - Street 1:801 S WEST ST
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:IL
Mailing Address - Zip Code:62450-1334
Mailing Address - Country:US
Mailing Address - Phone:618-392-4624
Mailing Address - Fax:618-395-4910
Practice Address - Street 1:801 S WEST ST
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:IL
Practice Address - Zip Code:62450-1334
Practice Address - Country:US
Practice Address - Phone:618-392-4624
Practice Address - Fax:618-395-4910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2017-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1006873251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147580Medicare Oscar/Certification