Advanced Home Support, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R2467P Issued in MD

Legal business name

ADVANCED HOME SUPPORT, INC.

Doing business as

Advanced Nursing & Home Support

Practice address

15800 Crabbs Branch Way
Suite 205
Rockville, MD 20855-2604

Phone

(240) 430-1500

Fax

(888) 522-6946

NPI assigned

Jan 31, 2007

Last updated

Jan 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Robert Lish

Title

President Ceo

Phone

(240) 430-1500

Specialties & licenses 1

Addresses

Other names 1

• Advanced Nursing & Home Support Doing business as

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1316084262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 CRABBS BRANCH WAY",
            "address_2": "SUITE 205",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552604",
            "telephone_number": "240-430-1500",
            "fax_number": "888-522-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 CRABBS BRANCH WAY",
            "address_2": "SUITE 205",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552604",
            "telephone_number": "240-430-1500",
            "fax_number": "888-522-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOME SUPPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "LISH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "240-430-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2467P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Nursing & Home Support",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.