Organization Active NPI

Advent Healthcare Services LLC

  • Community Based Hospice Care Agency
  • Fairfield, CA
National Provider Identifier
1508358003
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ADVENT HEALTHCARE SERVICES LLC
Practice address
1300 Oliver Rd Ste 350
Fairfield, CA 94534
Phone
(707) 396-0289
NPI assigned
May 31, 2018
Last updated
Jun 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Hazel Balacy
Title
Owner
Phone
(707) 398-0289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1300 Oliver Rd Ste 350
Fairfield, CA 94534

Mailing address

1300 Oliver Rd Ste 350
Fairfield, CA 94534-3428
Phone (707) 396-0289

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2163666Advent Healthcare Services, LLC1300 Oliver Road, Suite 350, Fairfield, CA 94534Certificate of waiverMar 18, 2027

National Provider Directory

National Provider Directory

Locations

1300 Oliver Rd
Ste 350
Fairfield, CA 94534
Phone (707) 396-0289

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1508358003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 OLIVER RD STE 350",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343428",
            "telephone_number": "707-396-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OLIVER RD STE 350",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94534",
            "telephone_number": "707-396-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENT HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "BALACY",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-398-0289"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.