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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1457969750
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	:	505-823-1051

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	:	505-823-1051

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

Provider Enumeration Date	:	07/22/2020
Last Update Date	:	03/25/2025

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