Healthcare Provider Details

I. General information

NPI: 1184434888
Provider Name (Legal Business Name): ADVANCED HOME CARE SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10101 W WISCONSIN AVE
MILWAUKEE WI
53226-4861
US

IV. Provider business mailing address

N112W16298 MEQUON RD STE 282
GERMANTOWN WI
53022-3306
US

V. Phone/Fax

Practice location:
  • Phone: 414-301-1132
  • Fax:
Mailing address:
  • Phone: 414-301-1132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. RADHAKRISHNA JANARDHAN
Title or Position: MANAGER
Credential: MD
Phone: 414-301-1132