DE ADVANCE HOME HEALTHCARE SERVICES INC (NPI# 1164940235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164940235 |
| Entity Type | Organization |
| Organization Name | DE ADVANCE HOME HEALTHCARE SERVICES INC |
| Other Organization Name | DE ADVANCE HOME HEALTHCARE SERVICES |
| Practice Address |
932 Landon Dr Marietta GA 30064-6421 |
| Practice Telephone | 6785598132 |
| Practice Fax Number | 7704855314 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |
| Authorized Official Name | MR. SAMUEL IKECHUKWU ELEGEDE (OWNER) |
| Authorized Official Telephone | 6785598132 |
| Authorized Official Credential | DIRECTOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
033-R-1270 | GA | Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| DE Advance Home Healthcare Services | Doing Business As Name - Organization |
| Street Address |
932 LANDON DR |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-6421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235108176 | Nimota A Adeboye | Registered Nurse | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255967071 | Simran Kaur | Registered Nurse | 2252 Nellie Dr, Augusta, GA 30906-8964 | 2020-03-13 |
| 1124651914 | Gyneth Springs Givens | Registered Nurse | 30 Glen Ridge Ct, Covington, GA 30014-6080 | 2020-02-19 |
| 1760021448 | Kenneth Unuovurhaye | Registered Nurse | 2073 Corners Circle Trce, Lithonia, GA 30058-7993 | 2019-12-30 |
| 1063069391 | Mark Benson | Registered Nurse | 4176 Chatford Cv, Tucker, GA 30084-7907 | 2019-08-21 |
| 1508325242 | Yashate Kinkia Pendergrass | Registered Nurse | 2159 Grove Landing Way, Grovetown, GA 30813-7017 | 2019-03-12 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1144701855 | Nadiyah Gardner | Registered Nurse | 1790 Mulkey Rd Ste 3b, Austell, GA 30106-1122 | 2018-08-22 |
| 1205324357 | Lona M Sims | Registered Nurse | 2113 Defoors Ferry Rd Nw Apt F5, Atlanta, GA 30318-2344 | 2018-04-24 |
| 1881108884 | Carol Lee Hadley | Registered Nurse | 10 Park Place South Se Ste 445, Atlanta, GA 30303-2913 | 2017-11-29 |
| 1467976811 | Talia Montoya Anderson | Registered Nurse | 927 N Hansell St, Thomasville, GA 31792-4542 | 2017-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.