Provider Demographics
NPI:1962432682
Name:ADVANCE HI-TECH NURSING, INC.
Entity type:Organization
Organization Name:ADVANCE HI-TECH NURSING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/CHAIRMAN/PRESIDE
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:N
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-798-5005
Mailing Address - Street 1:6243 W IH 10
Mailing Address - Street 2:SUITE 375
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-2086
Mailing Address - Country:US
Mailing Address - Phone:210-798-5005
Mailing Address - Fax:210-785-6649
Practice Address - Street 1:6243 W IH 10
Practice Address - Street 2:SUITE 375
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-2086
Practice Address - Country:US
Practice Address - Phone:210-798-5005
Practice Address - Fax:201-785-6649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 253Z00000X, 3747P1801X, 3747P1801X
TX009943251X00000X, 253Z00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX095111303Medicaid
TX207212601Medicaid
TX207215901Medicaid
TX208798301Medicaid
TX207238102Medicaid
TX207217501Medicaid
TX207245602Medicaid
TX207460101Medicaid
TX290013601Medicaid
TX095111301Medicaid
TX208975701Medicaid
TX384312001Medicaid