# HOME HEALTH ADVANTAGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194212795
- **Authorized official:** CHIQUITHA CORNELIUS (AUTHORIZING MANAGER)
- **Authorized official phone:** (574) 274-0152

## Contact information

- **Practice address:** 980 WOODS EDGE DR APT F, NILES, MI 49120-5813
- **Practice address phone:** (269) 267-6491
- **Practice address fax:** (877) 635-7891
- **Mailing address:** 980 WOODS EDGE DR APT F, NILES, MI 49120-5813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 04/18/2018
- **Last updated:** 12/07/2020
