Provider Demographics
NPI:1457969750
Name:ADVANTAGE HOME CARE, INC.
Entity Type:Organization
Organization Name:ADVANTAGE HOME CARE, INC.
Other - Org Name:CORUS HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REYNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-828-0232
Mailing Address - Street 1:PO BOX 91000
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87199-1000
Mailing Address - Country:US
Mailing Address - Phone:505-828-0232
Mailing Address - Fax:505-823-1051
Practice Address - Street 1:8725 ALAMEDA PARK DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2475
Practice Address - Country:US
Practice Address - Phone:505-828-0232
Practice Address - Fax:505-823-1051
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANTAGE HOME CARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-22
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty