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

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

National Provider Directory

Tax ID family
Advantage 2 (2 organizations share this tax ID)

Locations

4021 N Rosewood Ave
Muncie, IN 47304
Phone (765) 281-6728

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "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": []
}

Other providers in Muncie, IN

All providers in Muncie, IN · Custodial Care Facility in Indiana

Sources for this page

Verify at the official NPI Registry.