MEDICARE: AADVANTAGE HEALTH & HOSPICE CARE SYSTEMS, 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	251C00000X	Developmentally Disabled Services Day Training Agency
2	251E00000X	Home Health Agency	012488	TX
3	251F00000X	Home Infusion Agency	012488	TX
4	251G00000X	Community Based Hospice Care Agency	012488	TX
5	253Z00000X	In Home Supportive Care Agency	012488	TX
6	315D00000X	Inpatient Hospice	012488	TX
7	3747P1801X	Personal Care Attendant
8	251J00000X	Nursing Care Agency	588128	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	67-1644	OTHER	TX	MEDICARE PROVIDER NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477768521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AADVANTAGE HEALTH & HOSPICE CARE SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	9100 SOUTHWEST FWY STE 105
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1523
Country	:	US
Telephone Number	:	713-780-0150
Fax Number	:	713-772-0146

Provider Business Practice Location Address
First Line	:	9100 SOUTHWEST FWY STE 105
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1523
Country	:	US
Telephone Number	:	832-868-5122
Fax Number	:	281-208-0179

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. FEFI JAMES
Credential	:
Telephone Number	:	832-868-5122

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	02/22/2024

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