Provider Demographics
NPI:1386797066
Name:ADVENT CORPORATION
Entity type:Organization
Organization Name:ADVENT CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ADAIR
Authorized Official - Last Name:FREIBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:BS RRT
Authorized Official - Phone:603-595-4466
Mailing Address - Street 1:315 DERRY RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-3049
Mailing Address - Country:US
Mailing Address - Phone:603-595-4466
Mailing Address - Fax:603-598-9910
Practice Address - Street 1:315 DERRY RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-3049
Practice Address - Country:US
Practice Address - Phone:603-595-4466
Practice Address - Fax:603-598-9910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNONE REQUIRED332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30009976Medicaid
NH30009976Medicaid