Provider Demographics
NPI:1821229832
Name:ADVANTAGE HOME CARE INC
Entity type:Organization
Organization Name:ADVANTAGE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WINGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-884-3388
Mailing Address - Street 1:28805 US HWY 19 N
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761
Mailing Address - Country:US
Mailing Address - Phone:727-712-2220
Mailing Address - Fax:727-474-9867
Practice Address - Street 1:28805 US HWY 19 N.
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761
Practice Address - Country:US
Practice Address - Phone:727-712-2220
Practice Address - Fax:727-474-9867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-07
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health