MEDICARE: ADVANCED BUSINESS CONGLOMERATE, 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	251E00000X	Home Health Agency

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

General Provider Information

NPI Number	:	1659588309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED BUSINESS CONGLOMERATE, INC.

Provider Business Mailing Address
First Line	:	442 S ROSEMEAD BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-4980
Country	:	US
Telephone Number	:	626-698-1950
Fax Number	:

Provider Business Practice Location Address
First Line	:	442 S ROSEMEAD BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-4980
Country	:	US
Telephone Number	:	626-698-1950
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROSHANN RENE REESE
Credential	:	R.N.
Telephone Number	:	626-676-4168

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	07/08/2016

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