Advantage 2
Organization Active NPI Custodial Care Facility · Muncie, IN
NPI 1083779136 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1083779136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Custodial Care Facility 311Z00000X
- Legal business name
- ADVANTAGE 2
- Practice address
- 4021 N Rosewood Ave
Muncie, IN 47304-1774 - Phone
- (765) 284-1211
- Fax
- (765) 284-1239
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Angela Evans
- Title
- Administrator
- Phone
- (765) 284-1211
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Advantage 2
Locations
4021 N Rosewood Ave
Muncie, IN 47304
Phone (765) 281-6728
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Yes |
Addresses
Primary practice location
4021 N Rosewood Ave
Muncie, IN 47304-1774
Mailing address
4021 N Rosewood Ave
Muncie, IN 47304-1774
Phone (765) 284-1211
NPI Registry JSON
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083779136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4021 N ROSEWOOD AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473041774",
"telephone_number": "765-284-1211",
"fax_number": "765-284-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4021 N ROSEWOOD AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473041774",
"telephone_number": "765-284-1211",
"fax_number": "765-284-1239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANTAGE 2",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "765-284-1211",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.