Advance Homehealth Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADVANCE HOMEHEALTH INC

Practice address

9515 Indianapolis Blvd
Suite 6C
Highland, IN 46322-2642

Phone

(773) 220-7066

Fax

(219) 237-9019

NPI assigned

Mar 14, 2014

Last updated

Mar 14, 2014By 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

Mrs. Deanna M Memon

Title

President

Phone

(773) 220-7066

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1821414848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 INDIANAPOLIS BLVD",
            "address_2": "SUITE 6C",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222642",
            "telephone_number": "773-220-7066",
            "fax_number": "219-237-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 INDIANAPOLIS BLVD",
            "address_2": "SUITE 6C",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222642",
            "telephone_number": "773-220-7066",
            "fax_number": "219-237-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE HOMEHEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-220-7066",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.