Healthcare Provider Details

I. General information

NPI: 1720005531
Provider Name (Legal Business Name): ADVACARE HOME SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

572 3RD ST
BEAVER PA
15009-2229
US

IV. Provider business mailing address

4451 STATE ROUTE 66
APOLLO PA
15613-2053
US

V. Phone/Fax

Practice location:
  • Phone: 724-775-8020
  • Fax: 724-775-8020
Mailing address:
  • Phone: 412-249-9000
  • Fax: 412-677-1143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL THOMAS CONNER
Title or Position: PRESIDENT
Credential:
Phone: 412-677-1171