Organization Active NPI

Advantage Homecare Inc

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1487916078
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADVANTAGE HOMECARE INC
Doing business as
advantage homecare inc
Practice address
3429 Crenshaw Blvd
Suite#1
Los Angeles, CA 90016-4845
Phone
(323) 731-7069
Fax
(323) 730-0131
NPI assigned
Jun 11, 2012
Last updated
Jun 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Dolly Iguh
Title
Director
Phone
(323) 731-7069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3429 Crenshaw Blvd
Suite#1
Los Angeles, CA 90016-4845

Mailing address

2420 Virginia Rd
Suite #1
Los Angeles, CA 90016-1638
Phone (323) 731-7069

Other names 1

  • advantage homecare inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1487916078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 VIRGINIA RD",
            "address_2": "SUITE #1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900161638",
            "telephone_number": "323-731-7069",
            "fax_number": "323-730-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 CRENSHAW BLVD",
            "address_2": "SUITE#1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900164845",
            "telephone_number": "323-731-7069",
            "fax_number": "323-730-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "IGUH",
        "authorized_official_first_name": "DOLLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-731-7069"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "advantage homecare inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.