Advantage Home Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

N/A Issued in NU

Legal business name

ADVANTAGE HOME CARE, INC

Practice address

1170 Berkshire Blvd
Wyomissing, PA 19610-1215

Phone

(610) 378-0481

Fax

(610) 378-9762

NPI assigned

Dec 21, 2005

Last updated

Jul 13, 2007By 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. Lucille D Gough, RN, MSN, MBA

Title

President/Ceo

Phone

(610) 378-0481

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1932185998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 BERKSHIRE BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101215",
            "telephone_number": "610-378-0481",
            "fax_number": "610-378-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 BERKSHIRE BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101215",
            "telephone_number": "610-378-0481",
            "fax_number": "610-378-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "GOUGH",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "610-378-0481",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAA BRIDGE MONTGOMERY CO",
            "identifier": "70139",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENTIVA CARE CENTRIX",
            "identifier": "1140",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000074610001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gianna Marie Agosti

• Home Health Agency in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.