Care Advantage Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CARE ADVANTAGE HOME CARE LLC

Practice address

4031 Colonel Glenn Hwy Ste 450
Beavercreek Township, OH 45431-2700

Phone

(937) 637-3776

Fax

(888) 516-7031

NPI assigned

Feb 2, 2022

Last updated

Feb 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Abul Koontz Sr.

Title

Owner/ Founder

Phone

(937) 371-8177

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1568115103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 RIVER DOWNS CT",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454243796",
            "telephone_number": "937-371-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 COLONEL GLENN HWY STE 450",
            "city": "BEAVERCREEK TOWNSHIP",
            "state": "OH",
            "postal_code": "454312700",
            "telephone_number": "937-637-3776",
            "fax_number": "888-516-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ADVANTAGE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "KOONTZ",
        "authorized_official_first_name": "ABUL",
        "authorized_official_title_or_position": "OWNER/ FOUNDER",
        "authorized_official_telephone_number": "937-371-8177",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Beavercreek Township, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.