Provider Demographics
NPI:1487945424
Name:ADVANCECARE HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:ADVANCECARE HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:F
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-891-4132
Mailing Address - Street 1:3310 LEBANON PIKE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2027
Mailing Address - Country:US
Mailing Address - Phone:615-891-4132
Mailing Address - Fax:615-823-2878
Practice Address - Street 1:3310 LEBANON PIKE
Practice Address - Street 2:SUITE 208
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2027
Practice Address - Country:US
Practice Address - Phone:615-891-4132
Practice Address - Fax:615-823-2878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000015552251C00000X
TNI000000006647253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services