Healthcare Provider Details

I. General information

NPI: 1699697441
Provider Name (Legal Business Name): ADVANT HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 MALLORY BUCK RD
GATES NC
27937-9430
US

IV. Provider business mailing address

33 MALLORY BUCK RD
GATES NC
27937-9430
US

V. Phone/Fax

Practice location:
  • Phone: 919-342-7977
  • Fax: 877-694-0413
Mailing address:
  • Phone: 919-342-7977
  • Fax: 877-694-0413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ROSETTA STAMP SMALL
Title or Position: OWNER
Credential: RN
Phone: 919-896-5967