MEDICARE: ADVANTAGE HOME HEALTH CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1008614	IL
2	251E00000X	Home Health Agency	1011673	IL

General Provider Information

NPI Number	:	1023011079
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	425 E. US RT. 6
Second Line	:	SUITE F
City	:	MORRIS
State	:	IL
Zip	:	60450-8812
Country	:	US
Telephone Number	:	815-467-1905
Fax Number	:	815-467-6392

Provider Business Practice Location Address
First Line	:	425 E. US RT. 6
Second Line	:	SUITE F
City	:	MORRIS
State	:	IL
Zip	:	60450-8812
Country	:	US
Telephone Number	:	815-467-1905
Fax Number	:	815-467-6392

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. KELLY JOHN SLEETER
Credential	:
Telephone Number	:	815-467-1905

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	12/12/2014

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