NPI 1336337138 · live from the CMS NPI Registry
Advance Home Health Care Provider Corporation
Home Health in Homewood, IL. National Provider Identifier 1336337138, active.
NPI record
| NPI | 1336337138 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 935 W 175th Street, Suite 102, Homewood, IL 60430 |
| Practice phone | 630-424-9400 |
| Enumerated | October 6, 2007 |
| Last updated | October 28, 2019 |
| Authorized official | Mir Mirjat, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | IL1010800 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.