MEDICARE: ADVANTAGE HEALTH SYSTEMS

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	251J00000X	Nursing Care 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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710906771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE HEALTH SYSTEMS

Provider Business Mailing Address
First Line	:	1101 ELMWOOD AVE
Second Line	:	SUITE G
City	:	COLUMBIA
State	:	SC
Zip	:	29201-2127
Country	:	US
Telephone Number	:	803-758-4000
Fax Number	:	803-758-4001

Provider Business Practice Location Address
First Line	:	1101 ELMWOOD AVE
Second Line	:	SUITE G
City	:	COLUMBIA
State	:	SC
Zip	:	29201-2127
Country	:	US
Telephone Number	:	803-758-4000
Fax Number	:	803-758-4001

Authorized Official
Title or Position	:	COO
Name	:	VALERIE M AIKEN
Credential	:
Telephone Number	:	803-758-4000

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	08/22/2020

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Directions to “ADVANTAGE HEALTH SYSTEMS ” Practice Location

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