Provider Demographics
NPI:1700325362
Name:ADVANCE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:ADVANCE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-503-8137
Mailing Address - Street 1:3675 S NOLAND RD
Mailing Address - Street 2:SUITE 325
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-3369
Mailing Address - Country:US
Mailing Address - Phone:816-503-8137
Mailing Address - Fax:816-817-1294
Practice Address - Street 1:3675 S NOLAND RD
Practice Address - Street 2:SUITE 325
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-3369
Practice Address - Country:US
Practice Address - Phone:816-503-8137
Practice Address - Fax:816-817-1294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care