# ADVANTICARE HOME HEALTH SERVICES,LLC

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

## Provider details

- **NPI number:** 1255648564
- **Authorized official:** MRS. LOLITA BEGAY-YAZZIE (ADMINISTRATOR)
- **Authorized official phone:** (505) 292-5222

## Contact information

- **Practice address:** 3620 WYOMING BLVD NE, SUITE 130, ALBUQUERQUE, NM 87111-3297
- **Practice address phone:** (505) 292-5222
- **Practice address fax:** (505) 292-5333
- **Mailing address:** PO BOX 11353, ALBUQUERQUE, NM 87192-0353
- **Mailing address phone:** (505) 292-5222
- **Mailing address fax:** (505) 292-5333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2010
- **Last updated:** 09/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60238569 | — | NM |