MEDICARE: ADVANCED HOME HEALTH CARE, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	67283	OTHER	IA	WELLMARK BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063410371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HOME HEALTH CARE, LTD

Provider Business Mailing Address
First Line	:	1525 MOUNT PLEASANT ST
Second Line	:
City	:	BURLINGTON
State	:	IA
Zip	:	52601-2658
Country	:	US
Telephone Number	:	319-753-6270
Fax Number	:	319-753-6237

Provider Business Practice Location Address
First Line	:	1525 MOUNT PLEASANT ST
Second Line	:
City	:	BURLINGTON
State	:	IA
Zip	:	52601-2658
Country	:	US
Telephone Number	:	319-753-6270
Fax Number	:	319-753-6237

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	BARBARA A. NELSON
Credential	:	RN, CHCE
Telephone Number	:	319-753-6270

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	08/22/2020

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Directions to “ADVANCED HOME HEALTH CARE, LTD ” Practice Location

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