Healthcare Provider Details

I. General information

NPI: 1639016058
Provider Name (Legal Business Name): ADVANTAGE FOSTER CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 PARK AVE W
MANSFIELD OH
44906-3702
US

IV. Provider business mailing address

1579 OLD BOWMAN ST
MANSFIELD OH
44903-8805
US

V. Phone/Fax

Practice location:
  • Phone: 419-526-5437
  • Fax: 419-526-5437
Mailing address:
  • Phone: 419-544-1677
  • Fax: 419-544-1677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOHNATHON ARMSTRONG
Title or Position: ISL SPECIALST
Credential: ARMSTRONG
Phone: 419-544-1677