Provider Demographics
NPI:1104091842
Name:ADVOCATE HOME HEALTH SPECIALISTS INC
Entity type:Organization
Organization Name:ADVOCATE HOME HEALTH SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:P
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:219-923-2800
Mailing Address - Street 1:8141 KENNEDY AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-1128
Mailing Address - Country:US
Mailing Address - Phone:219-923-2800
Mailing Address - Fax:219-923-2875
Practice Address - Street 1:8141 KENNEDY AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-1128
Practice Address - Country:US
Practice Address - Phone:219-923-2800
Practice Address - Fax:219-923-2875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health