Provider Demographics
NPI:1780991190
Name:ADVANTAGE NURSING SERVICES INC
Entity type:Organization
Organization Name:ADVANTAGE NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHEY
Authorized Official - Middle Name:
Authorized Official - Last Name:VERBECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-616-7732
Mailing Address - Street 1:9663 PAGE AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-1525
Mailing Address - Country:US
Mailing Address - Phone:314-428-2328
Mailing Address - Fax:314-997-2404
Practice Address - Street 1:23 GLEN ED PROFESSIONAL PARK
Practice Address - Street 2:
Practice Address - City:GLEN CARBON
Practice Address - State:IL
Practice Address - Zip Code:62034-3333
Practice Address - Country:US
Practice Address - Phone:618-656-8618
Practice Address - Fax:618-655-0108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-07
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========-004Medicaid