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)

General Provider Information

NPI Number	:	1609108430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVACARE HOME SERVICES, INC

Provider Business Mailing Address
First Line	:	200 VILLANI DR
Second Line	:	SUITE 3009
City	:	BRIDGEVILLE
State	:	PA
Zip	:	15017-3483
Country	:	US
Telephone Number	:	412-249-9000
Fax Number	:	412-249-9036

Provider Business Practice Location Address
First Line	:	160 PITTSBURGH ST
Second Line	:	SUITE 10A
City	:	UNIONTOWN
State	:	PA
Zip	:	15401-2300
Country	:	US
Telephone Number	:	412-249-9000
Fax Number	:	412-249-9036

Authorized Official
Title or Position	:	PRESIDENT/ CEO
Name	:	TAMMY J ZELENKO
Credential	:
Telephone Number	:	412-677-1171

Provider Enumeration Date	:	02/04/2010
Last Update Date	:	09/27/2010

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