Provider Demographics
NPI:1306272968
Name:ADVANCED HOME HEALTH ALLIANCE, INC.
Entity type:Organization
Organization Name:ADVANCED HOME HEALTH ALLIANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BARGERSTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:724-913-3155
Mailing Address - Street 1:3571 BRODHEAD RD
Mailing Address - Street 2:SUITE #7
Mailing Address - City:MONACA
Mailing Address - State:PA
Mailing Address - Zip Code:15061-3137
Mailing Address - Country:US
Mailing Address - Phone:724-913-3155
Mailing Address - Fax:412-291-3376
Practice Address - Street 1:3571 BRODHEAD RD
Practice Address - Street 2:SUITE #7
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-3137
Practice Address - Country:US
Practice Address - Phone:724-913-3155
Practice Address - Fax:412-291-3376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-16
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health