ADVANCE HOME HEALTH CARE PROVIDER CORPORATION (NPI# 1336337138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336337138 |
| Entity Type | Organization |
| Organization Name | ADVANCE HOME HEALTH CARE PROVIDER CORPORATION |
| Practice Address |
935 W 175th Street Suite 102 Homewood IL 60430 |
| Practice Telephone | 6304249400 |
| Practice Fax Number | 6304249421 |
| Mailing Telephone | 6304249400 |
| Mailing Fax Number | 6304249421 |
| Enumeration Date | 2007-10-06 |
| Last Update Date | 2019-10-28 |
| Authorized Official Name | MR. MIR M MIRJAT (ADMINISTRATOR) |
| Authorized Official Telephone | 6304249400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | IL1010800 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IDPH | IL1010800 | 01 |
| Street Address |
935 W 175TH STREET SUITE 102 |
| City | HOMEWOOD |
| State | IL |
| Zip Code | 60430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467920132 | Annette Bailey | Counselor | 935 W 175th Street, Suite 300, Homewood, IL 60430 | 2018-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1619431020 | Jewish Child and Family Services | Clinic/Center | 1800 Ridge Road, Unit 204, Suite 4, Homewood, IL 60430 | 2019-01-30 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1518443381 | Elizabeth Carol Rodgers | Developmental Therapist | 2820 Willow Rd, Homewood, IL 60430 | 2018-07-16 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1699221986 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 17723 S Halsted St, Homewood, IL 60430 | 2016-08-28 |
| 1528420155 | Nathan Patrick Lagacy | Counselor | 3650 W. 183rd St., Homewood, IL 60430 | 2016-03-23 |
| 1891175725 | Quaneta Gates | Homeopath | 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 | 2015-06-05 |
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1790182327 | Floss Dental Care LLC | Preferred Provider Organization | 18650 Dixie Highway, Homewood, IL 60430 | 2014-11-25 |
| Find all providers in zip 60430 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090809 | Takita Green | Home Health | 323 Olympia Dr, Homewood, AL 35209-3743 | 2020-07-13 |
| 1427682475 | Premier Choice Home Health Care LLC | Home Health | 915 175th St, Homewood, IL 60430-2058 | 2020-02-28 |
| 1750913703 | Key Advantage Home Care LLC | Home Health | 201 Beacon Pkwy W Ste 111, Homewood, AL 35209-3129 | 2020-02-07 |
| 1942518436 | Visiting Caregivers LLC | Home Health | 1347 Jamie Ln, Homewood, IL 60430-4037 | 2010-09-17 |
| 1831321587 | Hope Home Health,inc. | Home Health | 18456 Poplar Ave, Homewood, IL 60430-3463 | 2009-08-13 |
| 1255571089 | Prestige Healthcare Services of Illinois | Home Health | 17900 Dixie Highway, Homewood, IL 60430 | 2009-03-06 |
| 1518123785 | Nett Hands Home Care, Inc. | Home Health | 18227 Harwood Ave, 2nd Floor Unit #1, Homewood, IL 60430-2127 | 2008-08-06 |
| 1932309853 | Affectionate Home Health Care,inc. | Home Health | 17900 Dixie Hwy, Suite 1, Homewood, IL 60430-1754 | 2007-07-19 |
| 1245298538 | Amedisys Home Health of Alabama, LLC | Home Health | 2204 Lakeshore Dr Ste 200, Homewood, AL 35209-6702 | 2006-05-03 |
| 1073589230 | Laketop Inc. | Home Health | 900 Ridge Road, Suite 3nw, Homewood, IL 60430-1937 | 2006-02-27 |
| Find all providers in HOMEWOOD | ||||
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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.