Provider Demographics
NPI:1932635943
Name:ADVENT NURSING CARE SERVICES INC
Entity Type:Organization
Organization Name:ADVENT NURSING CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DERSON
Authorized Official - Middle Name:O
Authorized Official - Last Name:JOLTEUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-715-7314
Mailing Address - Street 1:9601 BALTIMORE AVE STE A1
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-1355
Mailing Address - Country:US
Mailing Address - Phone:240-715-7314
Mailing Address - Fax:
Practice Address - Street 1:9601 BALTIMORE AVE STE A1
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-1355
Practice Address - Country:US
Practice Address - Phone:240-715-7314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3984R251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health