ADVANCE HEALTHCARE PROVIDERS LLC (NPI# 1174085633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174085633 |
| Entity Type | Organization |
| Organization Name | ADVANCE HEALTHCARE PROVIDERS LLC |
| Practice Address |
2709 Pumpkin St Clinton MD 20735-1057 |
| Practice Telephone | 2406060242 |
| Mailing Telephone | 2406060242 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |
| Authorized Official Name | JAPHET MUTANGA (ADMINISTRATOR) |
| Authorized Official Telephone | 2406060242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 164W00000X | Licensed Practical Nurse | Nursing Service Providers | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
2709 PUMPKIN ST |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543418 | Abimbola Ayodele Oloyede | Home Health Aide | 5848 E Boniwood Turn # Md20735, Clinton, MD 20735-4828 | 2020-09-22 |
| 1831714260 | Jakayla Palmer | Home Health Aide | 101 Sunset Dr, Clinton, MS 39056-5211 | 2020-06-11 |
| 1699278143 | Abeba Woyesa | Home Health Aide | 8721 Deborah St, Clinton, MD 20735-2875 | 2018-03-12 |
| 1366942732 | Lucia Eyambe Ukum | Home Health Aide | 8805 Shannan Dr, Clinton, MD 20735-2450 | 2018-02-13 |
| 1972001030 | Thomas Woehner | Home Health Aide | 7204 Serenade Cir, Clinton, MD 20735-5872 | 2018-01-24 |
| 1366975229 | Lilian Tarke | Home Health Aide | 4403 Tuskeegee Pl, Clinton, MD 20735-4327 | 2017-04-07 |
| 1154862795 | Caroline Madjo | Home Health Aide | 6701 Fawn Crossing Way, Clinton, MD 20735-5839 | 2017-03-15 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1942663042 | Marceline Wefuan | Home Health Aide | 8704 Creekway Dr, Clinton, MD 20735-4610 | 2016-04-05 |
| Find all providers in CLINTON | ||||
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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.