Advantage Home Care, LLC

Organization Active NPI Home Health Agency · Hackensack, NJ

NPI 1164548871 · NPPES record last updated Apr 19, 2012

Key facts

NPI
1164548871
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
HP0058600 (NJ)
Legal business name
ADVANTAGE HOME CARE, LLC
Practice address
270 State Street
Hackensack, NJ 07601
Phone
(201) 489-4899
NPI assigned
Mar 22, 2007
Organization subpart
No

Authorized official

Name
Mr. Leonard Verkhoglaz
Title
Principal
Phone
(201) 489-4899

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0058600 NJ Yes

Addresses

Primary practice location

270 State Street
Hackensack, NJ 07601

Mailing address

270 State Street
Hackensack, NJ 07601
Phone (201) 489-4899

Other identifiers

IdentifierTypeStateIssuer
0061646MedicaidNJ

Other providers in Hackensack, NJ

All providers in Hackensack, NJ · Home Health Agency in New Jersey

Sources for this page

Verify at the official NPI Registry.