Healthcare Provider Details

I. General information

NPI: 1043019755
Provider Name (Legal Business Name): AADVANCED NURSING AND HOME HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12636 HIGH BLUFF DR FL 4
SAN DIEGO CA
92130-2022
US

IV. Provider business mailing address

1155 CAMINO DEL MAR # 471
DEL MAR CA
92014-2605
US

V. Phone/Fax

Practice location:
  • Phone: 858-342-5450
  • Fax: 619-848-7516
Mailing address:
  • Phone: 858-342-5450
  • Fax: 619-848-7516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SUSAN M REICHEL
Title or Position: CEO
Credential: RN
Phone: 858-259-9228