American Advantage Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AMERICAN ADVANTAGE HOME CARE, INC.

Practice address

2040 Monroe St Ste 208
Dearborn, MI 48124-2950

Phone

(313) 914-2296

Fax

(313) 436-4152

NPI assigned

Dec 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Cleamon Moorer Jr.

Title

Ceo/President

Phone

(313) 740-9716

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437494846. Details of each certification follow.

• CCN 239295 Home health agency · Active · Details

Home health agency certification: CCN 239295

Legal name

AMERICAN ADVANTAGE HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 26, 2013

Last certification

Jul 26, 2013

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 10, 2012 in MI

Enrollment address

2040 Monroe St
Ste 208
Dearborn, MI 48124-2950

Listed as

American Advantage Home CareCCN 239295 · All quality measures

Ownership

Proprietary

Certified

Jul 26, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1437494846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MONROE ST STE 208",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242950",
            "telephone_number": "313-914-2296",
            "fax_number": "313-436-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MONROE ST STE 208",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242950",
            "telephone_number": "313-914-2296",
            "fax_number": "313-436-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ADVANTAGE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "MOORER",
        "authorized_official_first_name": "CLEAMON",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "313-740-9716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "intake@americanadvantagehhc.com",
            "affiliation": "N",
            "address_1": "4241 Maple St Ste 200B",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481263826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "intake@americanadvantagehhc.com",
            "affiliation": "N",
            "address_1": "4241 Maple St Ste 200B",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481263826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.