Provider Demographics
NPI:1972993848
Name:ADVENT HOMECARE LLC
Entity type:Organization
Organization Name:ADVENT HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOSES
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRAGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-677-1007
Mailing Address - Street 1:170 MAIN ST
Mailing Address - Street 2:UNIT 112
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-1765
Mailing Address - Country:US
Mailing Address - Phone:978-677-1007
Mailing Address - Fax:
Practice Address - Street 1:170 MAIN ST
Practice Address - Street 2:UNIT 112
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-1765
Practice Address - Country:US
Practice Address - Phone:978-677-1007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health