Provider Demographics
NPI:1396059697
Name:ADVANCED HOME CARE SERVICES, INC.
Entity type:Organization
Organization Name:ADVANCED HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:GLAVARIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DSCPT
Authorized Official - Phone:410-663-3133
Mailing Address - Street 1:8005 HARFORD RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-5753
Mailing Address - Country:US
Mailing Address - Phone:410-663-3133
Mailing Address - Fax:410-663-3089
Practice Address - Street 1:8005 HARFORD RD
Practice Address - Street 2:SUITE 102
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-5753
Practice Address - Country:US
Practice Address - Phone:410-663-3133
Practice Address - Fax:410-663-3089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2939P320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities