Organization
ADVANTAGE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIRCEA BUZILA (OWNER / MANAGER)
(480) 235-1244
Entity
Organization
Contact information
Practice address
11510 W LANGFORD CT, YOUNGTOWN, AZ 85363-1426
(480) 235-1244
(480) 304-3100
Mailing address
11510 W LANGFORD CT, YOUNGTOWN, AZ 85363-1426
(480) 235-1244
(480) 304-3100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH-7015
AZ
311ZA0620X
Adult Care Home Facility
ALH7346H
AZ
343900000X
Non-emergency Medical Transport (VAN)
410906
AZ
347C00000X
Private Vehicle
410906
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098867
SCAN HEALTH PLAN
AZ
01
—
108669
BRIDGEWAY HEALTH SOLUTIONS
AZ
01
—
410906
AHCCCS
AZ
Enumeration date
03/06/2009
Last updated
03/23/2010
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