Advantage Healthcare, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ADVANTAGE HEALTHCARE, LLC

Practice address

1939 Goldsmith LN Ste 141
Louisville, KY 40218-3000

Phone

(847) 530-6854

Fax

(847) 530-6854

NPI assigned

Sep 24, 2017

Organization subpart

No

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

Authorized official

Name

Sentell Williams

Title

Ceo

Phone

(847) 530-6854

Specialties & licenses 1

Addresses

Other names 1

• Advantage Healthcare Former legal business name

Locations

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

{
    "created_epoch": "1506211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506211200000",
    "number": "1548779432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 VASARI DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275029681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 GOLDSMITH LN STE 141",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183000",
            "telephone_number": "847-530-6854",
            "fax_number": "847-530-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-24",
        "last_updated": "2017-09-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SENTELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-530-6854"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Healthcare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.