Provider Demographics
NPI:1962564518
Name:ADVANCED HOME HEALTH CARE INC
Entity type:Organization
Organization Name:ADVANCED HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOSKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-299-2521
Mailing Address - Street 1:4001 JUAN TABO BLVD NE STE B
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3979
Mailing Address - Country:US
Mailing Address - Phone:505-299-2521
Mailing Address - Fax:505-298-8899
Practice Address - Street 1:4001 JUAN TABO BLVD NE STE B
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3979
Practice Address - Country:US
Practice Address - Phone:505-299-2521
Practice Address - Fax:505-298-8899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health