Provider Demographics
NPI:1740665496
Name:NATIONAL ADVANTAGE HOME CARE
Entity type:Organization
Organization Name:NATIONAL ADVANTAGE HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VANEA
Authorized Official - Middle Name:AMADO
Authorized Official - Last Name:ALVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-262-2466
Mailing Address - Street 1:180 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-3760
Mailing Address - Country:US
Mailing Address - Phone:202-262-2466
Mailing Address - Fax:
Practice Address - Street 1:141 POWER RD STE 206
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-8603
Practice Address - Country:US
Practice Address - Phone:202-262-2466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-23
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health