Provider Demographics
NPI:1306160692
Name:ADVANCE 1 HOME HEALTH SERVICES INC.
Entity type:Organization
Organization Name:ADVANCE 1 HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:O
Authorized Official - Last Name:OJIRIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-298-1000
Mailing Address - Street 1:1634 HIGH POINTE LN
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-4928
Mailing Address - Country:US
Mailing Address - Phone:972-298-1000
Mailing Address - Fax:
Practice Address - Street 1:1634 HIGH POINTE LN
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-4928
Practice Address - Country:US
Practice Address - Phone:972-298-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health