Organization
ADVANTAGE CARE IN HOME SERVICES, INC
Active
Other names
ADVANTAGE CARE COMMUNITY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE D WARD (AGENCY DIRECTOR)
(252) 430-7878
Entity
Organization
Contact information
Practice address
103 WORTTHAM COURT, HENDERSON, NC 27536
(252) 430-7878
(252) 430-0000
Mailing address
PO BOX 1258, HENDERSON, NC 27536-1258
(252) 430-7878
(252) 430-0000
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
MHL091069
NC
251J00000X
Nursing Care Agency
HC2292
NC
251J00000X
Nursing Care Agency
HC2505
NC
251J00000X
Nursing Care Agency
HC3114
NC
251S00000X
Community/Behavioral Health Agency
Primary
MHL091069
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL091069
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409497
—
NC
05
—
66001412
—
NC
05
—
66001414
—
NC
05
—
6600904
—
NC
05
—
8301504
—
NC
Enumeration date
01/25/2007
Last updated
09/03/2015
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