MEDICARE: ADVANTAGE HOME CARE, 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	207R00000X	Internal Medicine Physician
2	251E00000X	Home Health Agency	3167	NM
3	251G00000X	Community Based Hospice Care Agency	3326	NM
4	363LP2300X	Primary Care Nurse Practitioner	CNP01260	NM

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205887452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE HOME CARE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 91000
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87199-1000
Country	:	US
Telephone Number	:	505-828-0232
Fax Number	:	505-212-0790

Provider Business Practice Location Address
First Line	:	8725 ALAMEDA PARK DR NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87113-2475
Country	:	US
Telephone Number	:	505-828-0232
Fax Number	:	505-212-0790

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	REYNOLD BUNZEL
Credential	:
Telephone Number	:	505-828-0232

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	02/03/2026

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Directions to “ADVANTAGE HOME CARE, INC. ” Practice Location

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