Advoserv Group Home, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

ADVOSERV GROUP HOME, INC.

Practice address

4185 Kirkwood St Georges Rd
Bear, DE 19701-2272

Phone

(302) 834-7018

Fax

(302) 834-7155

NPI assigned

May 27, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Judith E Favell

Title

President

Phone

(352) 383-7612

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1124347273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 KIRKWOOD ST GEORGES RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012272",
            "telephone_number": "302-834-7018",
            "fax_number": "302-834-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 KIRKWOOD ST GEORGES RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012272",
            "telephone_number": "302-834-7018",
            "fax_number": "302-834-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOSERV GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "FAVELL",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-383-7612",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bear, DE
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.