Organization Active NPI

Advanced Health Services Inc.

  • Home Health Agency
  • Pulaski, VA
National Provider Identifier
1215921101
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
251E00000X Issued in VA
Legal business name
ADVANCED HEALTH SERVICES INC.
Practice address
58 N Washington Ave
Suite 516
Pulaski, VA 24301-5732
Phone
(540) 994-9811
Fax
(540) 994-9760
NPI assigned
Sep 7, 2005
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Mrs. Gloria J Keen
Title
Coo
Phone
(615) 690-4427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 251E00000X VA Primary

Addresses

Primary practice location

58 N Washington Ave
Suite 516
Pulaski, VA 24301-5732

Mailing address

PO Box 1996
Pulaski, VA 24301-1910
Phone (540) 994-9811

Other identifiers 1

IdentifierTypeStateIssuer
4974549MedicaidVA

National Provider Directory

National Provider Directory

Locations

58 N Washington Ave
Pulaski, VA 24301
Phone (540) 994-9811

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1215921101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1996",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243011910",
            "telephone_number": "540-994-9811",
            "fax_number": "540-994-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 N WASHINGTON AVE",
            "address_2": "SUITE 516",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015732",
            "telephone_number": "540-994-9811",
            "fax_number": "540-994-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "KEEN",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "615-690-4427",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "251E00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4974549",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.