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NPI 1528507480

NPI 1528507480 : ADVANCED HOME CARE SERVICES, INC : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1528507480
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADVANCED HOME CARE SERVICES, INC 
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Dates
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    Enumeration Date     |    02/13/2017
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    Last Update Date     |    09/18/2024
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Provider Practice Location Address
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    Address Line         |    504 CONEY ISLAND AVE FL 2 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11218-3409
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    Country              |    US
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    Telephone            |    718-233-3301
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    Fax                  |    718-233-3381
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Provider Business Mailing Address
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    Address Line         |    504 CONEY ISLAND AVE FL 2 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11218-3409
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    Country              |    US
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    Telephone            |    718-233-3301
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    Fax                  |    718-233-3381
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     YANA  ALIYEVA 
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    Credential           |    
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    Telephone            |    718-233-3301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    1717L001
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    License Number State |    NY
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