Healthcare Provider Details
I. General information
NPI: 1548818636
Provider Name (Legal Business Name): ADVENT HEALTHCARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2019
Last Update Date: 09/25/2020
Certification Date: 09/25/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
255 W FALLBROOK AVE STE 102
FRESNO CA
93711-6151
US
IV. Provider business mailing address
255 WEST FALLBROOK AVENUE STE 102
FRESNO CA
93711-6151
US
V. Phone/Fax
- Phone: 559-801-4399
- Fax:
- Phone: 559-216-1926
- Fax: 888-244-7748
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0401X |
| Taxonomy | Comprehensive Outpatient Rehabilitation Facility (CORF) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
ZERLINE
SULIT-MONTOYA
Title or Position: OWNER/MANAGING MEMBER/AUTH INDIVIDU
Credential: RN
Phone: 559-216-1926