Advantage Home Health Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1T3448 Issued in NM

Legal business name

ADVANTAGE HOME HEALTH CARE SERVICES LLC

Doing business as

Advantage Personal Care Services

Practice address

588 Canal Blvd SW
Los Lunas, NM 87031-8603

Phone

(505) 866-1407

Fax

(505) 866-1407

NPI assigned

Jun 28, 2013

Last updated

Jun 28, 2013By 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. Abbas Michael Khavari

Title

Home Health Agency Director

Phone

(505) 866-1407

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advantage Personal Care Services Doing business as

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1669812160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2939",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870312939",
            "telephone_number": "505-866-1407",
            "fax_number": "505-866-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 CANAL BLVD SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870318603",
            "telephone_number": "505-866-1407",
            "fax_number": "505-866-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HOME HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "KHAVARI",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "HOME HEALTH AGENCY DIRECTOR",
        "authorized_official_telephone_number": "505-866-1407",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "1T3448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO DEPARTMENT OF HEALTH",
            "identifier": "1T3448",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Personal Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kourtney C Adams-Nissinoff
• Michelle Adams
• Sierra Adams, RN
• Adaptive Non Emergency Transportation Inc.
• Adaptive Personal Care Services
• Advantage Personal Care LLC
• Faith Emareld Aguilar
• Meagan Aiken, MSW
• Charlene Erin Alfero, LADAC
• Bruce Paul Allen, RPH

• Home Health Agency in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.