Provider Demographics
NPI:1477362648
Name:ADVANCED NUTRITION CARE, LLC
Entity type:Organization
Organization Name:ADVANCED NUTRITION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:HORSTMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN
Authorized Official - Phone:812-204-8110
Mailing Address - Street 1:1517 PRAIRIE VISTA DR
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62629-5095
Mailing Address - Country:US
Mailing Address - Phone:812-204-8110
Mailing Address - Fax:
Practice Address - Street 1:1517 PRAIRIE VISTA DR
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:IL
Practice Address - Zip Code:62629-5095
Practice Address - Country:US
Practice Address - Phone:812-204-8110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty