Provider Demographics
NPI:1356110118
Name:AAA ADVANTAGE HOME CARE INC.
Entity type:Organization
Organization Name:AAA ADVANTAGE HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-281-0484
Mailing Address - Street 1:4 PEDDLERS ROW # 1150
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-1525
Mailing Address - Country:US
Mailing Address - Phone:302-335-6779
Mailing Address - Fax:
Practice Address - Street 1:2911 N OAKWOOD AVE UNIT B
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-2255
Practice Address - Country:US
Practice Address - Phone:219-271-8611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care