Active NPI
Advantage in-Home Care, Inc.
- Home Health Agency
- Provo, UT
National Provider Identifier
1235369752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 51008
- Legal business name
- ADVANTAGE IN-HOME CARE, INC.
- Practice address
- 1839 N 1120 W
Provo, UT 84604-1180 - Phone
- (801) 373-0100
- NPI assigned
- Jul 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nicole Holley
- Title
- Administrator
- Phone
- (801) 615-1337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 51008 | UT | Primary |
Addresses
Primary practice location
1839 N 1120 W
Provo, UT 84604-1180
Mailing address
1839 N 1120 W
Provo, UT 84604-1180
National Provider Directory
National Provider DirectoryLocations
1839 N 1120 W
Provo, UT 84604
Phone (801) 373-0100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253145600000",
"number": "1235369752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 N 1120 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846041180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 N 1120 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846041180",
"telephone_number": "801-373-0100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANTAGE IN-HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-17",
"last_updated": "2009-09-17",
"status": "A",
"authorized_official_last_name": "HOLLEY",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "801-615-1337",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "UT",
"license": "51008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.