Advantica Virginia, LCC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

ADVANTICA VIRGINIA, LCC

Practice address

3290 Pine Orchard LN
Suite D
Ellicott City, MD 21042-2374

Phone

(866) 425-2323

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Linda Sauer

Title

Chief Operations Officer

Phone

(866) 425-2323

Specialties & licenses 1

Addresses

Other names 1

• Advantica EyeCare Other name

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659410629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 PINE ORCHARD LN",
            "address_2": "SUITE D",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422374",
            "telephone_number": "866-425-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 PINE ORCHARD LN",
            "address_2": "SUITE D",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422374",
            "telephone_number": "866-425-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTICA VIRGINIA, LCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAUER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "866-425-2323",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantica EyeCare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• PACE Provider Organization in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• PACE Provider Organization in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.