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NPI Code Detail

MEDICARE: ADVANTAGE HOME CARE INCORPORATED

MEDICARE: ADVANTAGE HOME CARE INCORPORATED
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
1251G00000XCommunity Based Hospice Care AgencyA087058KS
2251E00000XHome Health AgencyA087058KS

General Provider Information

NPI Number : 1437156023
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANTAGE HOME CARE INCORPORATED
Provider Business Mailing Address
First Line : 1611 W HARRY ST
Second Line :
City : WICHITA
State : KS
Zip : 67213-3653
Country : US
Telephone Number : 316-262-4484
Fax Number : 316-262-5270
Provider Business Practice Location Address
First Line : 1611 W HARRY ST
Second Line :
City : WICHITA
State : KS
Zip : 67213-3653
Country : US
Telephone Number : 316-262-4484
Fax Number : 316-262-5270
Authorized Official
Title or Position : OWNER
Name : PAULA STROUD
Credential :
Telephone Number : 316-262-4484
Provider Enumeration Date : 06/28/2005
Last Update Date : 01/22/2008

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Directions to “ADVANTAGE HOME CARE INCORPORATED ” Practice Location

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