Advantage Home Care, LLC

Organization Active NPI Assisted Living Facility · Youngtown, AZ

NPI 1053551879 · NPPES record last updated Mar 23, 2010

Key facts

NPI: 1053551879
Entity type: Organization (NPI type 2)
Primary specialty: Assisted Living Facility 310400000X
License: ALH-7015 (AZ)
Legal business name: ADVANTAGE HOME CARE, LLC
Practice address: 11510 W Langford CT
Youngtown, AZ 85363-1426
Phone: (480) 235-1244
Fax: (480) 304-3100
NPI assigned: Mar 6, 2009
Organization subpart: No

Authorized official

Name: Mr. Mircea Buzila
Title: Owner / Manager
Phone: (480) 235-1244

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Advantage Home Care, LLC Assisted Living Facility · Youngtown, AZ · NPI 1225496268

NPD tax ID

National Provider Directory

Tax ID family: Advantage Home Care LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Assisted Living Facility	310400000X	ALH-7015	AZ	Yes
Adult Care Home Facility	311ZA0620X	ALH7346H	AZ
Non-emergency Medical Transport (VAN)	343900000X	410906	AZ
Private Vehicle	347C00000X	410906	AZ

Addresses

Primary practice location

11510 W Langford CT
Youngtown, AZ 85363-1426

Mailing address

11510 W Langford CT
Youngtown, AZ 85363-1426
Phone (480) 235-1244

Other identifiers

Identifier	Type	State	Issuer
108669	Other	AZ	BRIDGEWAY HEALTH SOLUTIONS
410906	Other	AZ	AHCCCS
098867	Other	AZ	SCAN HEALTH PLAN

Other providers in Youngtown, AZ

All providers in Youngtown, AZ · Assisted Living Facility in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.