Provider Demographics
NPI:1134422397
Name:ADVANCED HOME CARE PRIVATE DUTY, INC
Entity type:Organization
Organization Name:ADVANCED HOME CARE PRIVATE DUTY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAPATKA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:248-588-0069
Mailing Address - Street 1:850 STEPHENSON HWY
Mailing Address - Street 2:SUITE 701
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1152
Mailing Address - Country:US
Mailing Address - Phone:248-588-0070
Mailing Address - Fax:248-588-0255
Practice Address - Street 1:850 STEPHENSON HWY
Practice Address - Street 2:SUITE 701
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1152
Practice Address - Country:US
Practice Address - Phone:248-588-0070
Practice Address - Fax:248-588-0255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health