MEDICARE: ADVOCARE IN-HOME CARE

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	253Z00000X	In Home Supportive Care Agency	HCO161392	VA

General Provider Information

NPI Number	:	1356700116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVOCARE IN-HOME CARE

Provider Business Mailing Address
First Line	:	6465 COLLEGE PARK SQ
Second Line	:	SUITE 304
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-3609
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6465 COLLEGE PARK SQ
Second Line	:	SUITE 304
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-3609
Country	:	US
Telephone Number	:	757-938-9777
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MRS. DANA N. GILL
Credential	:
Telephone Number	:	757-938-9777

Provider Enumeration Date	:	02/22/2016
Last Update Date	:	02/22/2016

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