Provider Demographics
NPI:1376817726
Name:ADVOCATE HOME HEALTHCARE AGENCY, LLC
Entity type:Organization
Organization Name:ADVOCATE HOME HEALTHCARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:C
Authorized Official - Last Name:VALENTINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-608-1800
Mailing Address - Street 1:450 SHEPARD DR
Mailing Address - Street 2:17B
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-7033
Mailing Address - Country:US
Mailing Address - Phone:847-608-1800
Mailing Address - Fax:847-608-1820
Practice Address - Street 1:450 SHEPARD DR
Practice Address - Street 2:17B
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-7033
Practice Address - Country:US
Practice Address - Phone:847-608-1800
Practice Address - Fax:847-608-1820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL4000336251J00000X
IL1011422251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care