Advance Choice Home Care Incorporation LLC
In Home Supportive Care in Jackson, TN. Organization (NPI-2).
NPI number1639044902
StatusActive
Last updated in NPPESOct 7, 2025
Details
- NPI
- 1639044902
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Choice Home Care Incorporation LLC
- Organization subpart
- No
- Enumeration date
- Oct 7, 2025
- Certification date
- Oct 7, 2025
- Last updated
- Oct 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251J00000X | Nursing Care | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 385H00000X | Respite Care | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – |
Practice location
25 Max Lane Dr Ste 3Jackson, TN 38305-2835
Phone 731-694-8058 · Fax 731-694-8058
Mailing address
25 Max Lane Dr Ste 3Jackson, TN 38305-2835
Phone 731-694-8058 · Fax 731-694-8058
Authorized official
Rena Payne
Administrative Manager
7316948058
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