ADVANTAGE HOME CARE LLC (NPI# 1265823447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265823447 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE HOME CARE LLC |
| Practice Address |
151 Main Street Clay WV 25043 |
| Mailing Address |
Po Box 835 151 Main Street Clay WV 25043 |
| Practice Telephone | 3045879994 |
| Practice Fax Number | 3045879993 |
| Mailing Telephone | 3045879992 |
| Mailing Fax Number | 3045879993 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |
| Authorized Official Name | MRS. CRYSTAL DAWN COULTER (MANAGER) |
| Authorized Official Telephone | 3045879992 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 2247-5308 | WV | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932370871 | Advantage Home Care LLC | Point of Service | 903 Rcr 4520, Point, TX 75472 | 2008-03-19 |
| 1730570607 | Advantage Home Care LLC | Home Health | 151 Main Street, Clay, WV 25043 | 2015-02-12 |
| 1124419189 | Advantage Home Care LLC | Case Management | 151 Main Street, Clay, WV 25043 | 2015-02-12 |
| 1245637305 | Advantage Home Care LLC | Case Management | 151 Main Street, Clay, WV 25043 | 2014-12-04 |
| 1336447465 | Advantage Home Care LLC | Home Health | 151 Main St, Clay, WV 25043 | 2011-03-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | ADVANTAGE HOME CARE LLC | 24 East Ave #173, New Canaan, CT 06840 |
| Street Address |
151 MAIN STREET |
| City | CLAY |
| State | WV |
| Zip Code | 25043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730570607 | Advantage Home Care LLC | Home Health | 151 Main Street, Clay, WV 25043 | 2015-02-12 |
| 1124419189 | Advantage Home Care LLC | Case Management | 151 Main Street, Clay, WV 25043 | 2015-02-12 |
| 1245637305 | Advantage Home Care LLC | Case Management | 151 Main Street, Clay, WV 25043 | 2014-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538517354 | Barbara Ballash | Psychologist | 1500 Clay Hwy #101, Clay, WV 25043 | 2016-06-02 |
| 1457640583 | Larry Simmons | Pharmacist | 173 Main Street, Clay, WV 25043 | 2011-03-29 |
| 1245418946 | Michelle Haddox | Speech-Language Pathologist | 285 Church Street, Clay, WV 25043 | 2008-02-05 |
| 1467652453 | Clay County Schools | Local Education Agency (LEA) | #1 Gump Street, Clay, WV 25043 | 2007-07-19 |
| 1801914536 | Total Life Clinicians | Community/Behavioral Health | 168 Church Street, Clay, WV 25043 | 2007-03-27 |
| 1295872018 | Clay County Ambulance Services | Ambulance | 464 Main St., Clay, WV 25043 | 2007-01-31 |
| 1649322074 | Gary M Bowen II | Dentist | 319 Main St., Clay, WV 25043 | 2007-01-17 |
| 1922194760 | Stephanie Johnson | Occupational Therapist | 242 Church St., Clay, WV 25043 | 2006-10-05 |
| 1437160033 | Highland Behavioral Health Services Inc | Clinic/Center | 163 Main Street, Clay, WV 25043 | 2006-08-10 |
| 1801803465 | Clay County Board of Health | Public Health or Welfare | 452 Main St, Clay, WV 25043 | 2006-08-03 |
| Find all providers in zip 25043 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952766040 | Bruce Tanner | Durable Medical Equipment & Medical Supplies | 9068 Oneida River Park Dr, Clay, NY 13041-9625 | 2015-12-16 |
| 1982121844 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 173 Main St, Clay, WV 25043 | 2017-08-23 |
| 1275791626 | Associated Healthcare Systems, Inc | Durable Medical Equipment & Medical Supplies | 4160 Route 31, Suite 615, Clay, NY 13041-8719 | 2008-05-31 |
| 1205945532 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 173 Main Street, Clay, WV 25043 | 2006-08-30 |
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| 1275002339 | Hometown Health Investments Inc | Durable Medical Equipment & Medical Supplies | 351 Hanging Rock Hwy, Logan, WV 25601-5105 | 2018-11-19 |
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| 1306330311 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3375 Us Route 60 E Ste P, Huntington, WV 25705 | 2018-06-22 |
| 1154828671 | Raleigh General Hospital LLC | Durable Medical Equipment & Medical Supplies | 1717 Harper Rd Ste C, Beckley, WV 25801-3373 | 2018-04-11 |
| 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.