MEDICARE: ADVANTAGE HOME HEALTH SERVICES, 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

General Provider Information

NPI Number	:	1710141163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE HOME HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	7951 PITTSBURG AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-5669
Country	:	US
Telephone Number	:	330-491-8161
Fax Number	:	330-491-8148

Provider Business Practice Location Address
First Line	:	7951 PITTSBURG AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-5669
Country	:	US
Telephone Number	:	330-491-8161
Fax Number	:	330-491-8148

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARIA N NAM
Credential	:
Telephone Number	:	330-491-8161

Provider Enumeration Date	:	07/15/2008
Last Update Date	:	04/27/2021

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