Organization
ADVANCE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON THAO (ADMINISTRATOR)
(414) 885-0845
Entity
Organization
Contact information
Practice address
6001 W CENTER ST STE 98LL, MILWAUKEE, WI 53210
(414) 885-0845
Mailing address
6001 W CENTER ST STE 98LL, MILWAUKEE, WI 53210-2154
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100062983
—
WI
Enumeration date
07/19/2017
Last updated
04/15/2026
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