Aadvance Home Health Services

Key facts

NPI

1316655608

Entity type

Organization (NPI type 2)

Primary specialty

Home Health Agency 251E00000X

Legal business name

AADVANCE HOME HEALTH SERVICES

Practice address

517 N. Rolling Rd.
Baltimore, MD 21228

Phone

(410) 744-8200

NPI assigned

Nov 7, 2022

Organization subpart

No

Authorized official

Name

Ija J Rollins

Title

Aide

Phone

(301) 639-3348

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 7, 2022.

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1316655608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19357 PARADISE MANOR DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217425312",
            "telephone_number": "301-639-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N. ROLLING RD.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-744-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AADVANCE HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "IJA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AIDE",
        "authorized_official_telephone_number": "301-639-3348"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141516",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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