# ADVANCE HOME HEALTH CARE, LLC

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

## Provider details

- **NPI number:** 1235181264
- **Authorized official:** MR. CONSTANTINE XANTHAKYS MS, PT (PHYSICAL THERAPIST, OWNER)
- **Authorized official phone:** (571) 246-3622

## Contact information

- **Practice address:** 6 PIDGEON HILL DR, SUITE 130-A, STERLING, VA 20165-6146
- **Practice address phone:** (571) 246-3622
- **Practice address fax:** (703) 421-1461
- **Mailing address:** 6 PIDGEON HILL DR, SUITE 130-A, STERLING, VA 20165-6146
- **Mailing address phone:** (571) 246-3622
- **Mailing address fax:** (703) 421-1461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-353 | VA | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 03/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | HCO-353 | HOME CARE LICENSE NUMBER | VA |