MEDICARE: ADVACARE HOME SERVICES INC

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	332BX2000X	Oxygen Equipment & Supplies (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	221002	OTHER	PA	HIGHMARK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174520878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVACARE HOME SERVICES INC

Provider Business Mailing Address
First Line	:	4451 STATE ROUTE 66
Second Line	:
City	:	APOLLO
State	:	PA
Zip	:	15613-2053
Country	:	US
Telephone Number	:	878-214-7131
Fax Number	:	412-677-1143

Provider Business Practice Location Address
First Line	:	80 EMERSON LN STE 1302
Second Line	:
City	:	BRIDGEVILLE
State	:	PA
Zip	:	15017-3472
Country	:	US
Telephone Number	:	412-249-9000
Fax Number	:	412-249-9036

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL THOMAS CONNER
Credential	:
Telephone Number	:	878-214-7021

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	01/19/2023

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Directions to “ADVACARE HOME SERVICES INC ” Practice Location

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