=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093742330
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADVENT HOME HEALTH SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/26/2006
-----------------------------------------------------
Last Update Date | 10/11/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1S450 SUMMIT AVE SUITE 350
-----------------------------------------------------
City | OAKBROOK TERRACE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60181-3976
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-705-9030
-----------------------------------------------------
Fax | 630-705-9031
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1S450 SUMMIT AVE SUITE 350
-----------------------------------------------------
City | OAKBROOK TERRACE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60181-3976
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-705-9030
-----------------------------------------------------
Fax | 630-705-9031
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MS. CHRISTINA BLANCO
-----------------------------------------------------
Credential | RN, BSN
-----------------------------------------------------
Telephone | 630-705-9030
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 1010498
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------