Healthcare Provider Details

I. General information

NPI: 1992511158
Provider Name (Legal Business Name): ADVENT HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2024
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 W GLEN PARK AVE
GRIFFITH IN
46319-3704
US

IV. Provider business mailing address

2005 W GLEN PARK AVE
GRIFFITH IN
46319-3704
US

V. Phone/Fax

Practice location:
  • Phone: 312-623-7766
  • Fax:
Mailing address:
  • Phone: 312-623-7766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. APINSIRI TESSALEE
Title or Position: PRESIDENT
Credential:
Phone: 312-623-7766