Organization · NPI-2

Advantage Home Care, LLC

Home Health · Hackensack, NJ

NPI number1164548871
StatusActive
Last updated in NPPESApr 19, 2012

Details

NPI
1164548871
Entity type
Organization (NPI-2)
Legal business name
Advantage Home Care, LLC
Organization subpart
No
Enumeration date
Mar 22, 2007
Last updated
Apr 19, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home HealthHP0058600NJYes

Practice location

270 State Street
Hackensack, NJ 07601

Phone 201-489-4899

Mailing address

270 State Street
Hackensack, NJ 07601

Phone 201-489-4899

Authorized official

Leonard Verkhoglaz
Principal
2014894899

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