Advanced Care & Home Support Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADVANCED CARE & HOME SUPPORT INC

Practice address

2880 Claremont Dr
Grand Prairie, TX 75052-4312

Phone

(301) 300-4179

NPI assigned

May 25, 2018

Last updated

May 25, 2018By 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

Mbecha Atem Tongwa

Title

Administrator

Phone

(301) 300-4179

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1710478623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 CLAREMONT DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524312",
            "telephone_number": "301-300-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 CLAREMONT DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524312",
            "telephone_number": "301-300-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE & HOME SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "TONGWA",
        "authorized_official_first_name": "MBECHA",
        "authorized_official_middle_name": "ATEM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-300-4179"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341241302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.