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Advantage Home Care LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Clay, WV

NPI 1265823447 · NPPES record last updated Feb 10, 2015

Key facts

NPI
1265823447
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
2247-5308 (WV)
Legal business name
ADVANTAGE HOME CARE LLC
Practice address
151 Main Street
Clay, WV 25043
Phone
(304) 587-9994
Fax
(304) 587-9993
NPI assigned
Feb 10, 2015
Organization subpart
No

Authorized official

Name
Mrs. Crystal Dawn Coulter
Title
Manager
Phone
(304) 587-9992

Corporate family (same tax ID) 4

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

National Provider Directory

Tax ID family
Advantage Home Care LLC (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2247-5308 WV Yes

Addresses

Primary practice location

151 Main Street
Clay, WV 25043

Mailing address

PO Box 835
151 Main Street
Clay, WV 25043
Phone (304) 587-9992

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 10, 2015.

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1265823447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835",
            "address_2": "151 MAIN STREET",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "25043",
            "telephone_number": "304-587-9992",
            "fax_number": "304-587-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MAIN STREET",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "25043",
            "telephone_number": "304-587-9994",
            "fax_number": "304-587-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "COULTER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "304-587-9992",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": "2247-5308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clay, WV

All providers in Clay, WV · Durable Medical Equipment & Medical Supplies in West Virginia

Sources for this page

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