# ADVANCED HOME CARE SPECIALIST, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICAL HOME CARE SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972150746
- **Authorized official:** ADEBUKOLA AINA ADENIRAN NP (CEO)
- **Authorized official phone:** (631) 321-1595

## Contact information

- **Practice address:** 133 E MAIN ST STE 1C, BABYLON, NY 11702-3517
- **Practice address phone:** (631) 321-1595
- **Practice address fax:** (631) 482-9911
- **Mailing address:** 133 E MAIN ST STE 1C, BABYLON, NY 11702-3517
- **Mailing address phone:** (631) 321-1595
- **Mailing address fax:** (631) 482-9911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2019
- **Last updated:** 05/26/2020
