# ADVANCED HOME SUPPORT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Nursing & Home Support
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316084262
- **Authorized official:** MR. SAMUEL ROBERT LISH (PRESIDENT CEO)
- **Authorized official phone:** (240) 430-1500

## Contact information

- **Practice address:** 15800 CRABBS BRANCH WAY, SUITE 205, ROCKVILLE, MD 20855-2604
- **Practice address phone:** (240) 430-1500
- **Practice address fax:** (888) 522-6946
- **Mailing address:** 15800 CRABBS BRANCH WAY, SUITE 205, ROCKVILLE, MD 20855-2604
- **Mailing address phone:** (240) 430-1500
- **Mailing address fax:** (888) 522-6946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | R2467P | MD | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 01/25/2017