Provider Demographics
NPI:1972141778
Name:ADVANCED CARE HOME HEALTH, LLC
Entity Type:Organization
Organization Name:ADVANCED CARE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:MAZORRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-239-1141
Mailing Address - Street 1:950 ECHO LN # 200-23
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2756
Mailing Address - Country:US
Mailing Address - Phone:713-239-1141
Mailing Address - Fax:713-583-5315
Practice Address - Street 1:950 ECHO LN # 200-23
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2756
Practice Address - Country:US
Practice Address - Phone:713-239-1141
Practice Address - Fax:713-583-5315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-12
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health