Provider Demographics
NPI:1811301773
Name:ADVANCED HOME CARE SERVICES, INC.
Entity type:Organization
Organization Name:ADVANCED HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIYEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-233-3301
Mailing Address - Street 1:504 CONEY ISLAND AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3409
Mailing Address - Country:US
Mailing Address - Phone:718-233-3301
Mailing Address - Fax:718-233-3381
Practice Address - Street 1:504 CONEY ISLAND AVE FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3409
Practice Address - Country:US
Practice Address - Phone:718-233-3301
Practice Address - Fax:718-233-3381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
NY1717L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health