MEDICARE: ANR ADVANCE HOME CARE 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	251E00000X	Home Health Agency	0582L001	NY
2	251J00000X	Nursing Care Agency	0582L001	NY

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	:	1700995859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANR ADVANCE HOME CARE SERVICES, INC

Provider Business Mailing Address
First Line	:	2604 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-5010
Country	:	US
Telephone Number	:	718-332-9200
Fax Number	:	718-332-8400

Provider Business Practice Location Address
First Line	:	2604 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-5010
Country	:	US
Telephone Number	:	718-332-9200
Fax Number	:	718-332-8400

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AARON BETHEA
Credential	:
Telephone Number	:	718-332-9200

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	09/11/2025

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