MEDICARE: AADVANTAGE HOME MEDICAL, 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)	H13-00284-3-124861	NV

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	:	1770662884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AADVANTAGE HOME MEDICAL, INC.

Provider Business Mailing Address
First Line	:	3111 S VALLEY VIEW BLVD
Second Line	:	UNIT U103
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8317
Country	:	US
Telephone Number	:	702-248-0056
Fax Number	:	702-889-0059

Provider Business Practice Location Address
First Line	:	3111 S VALLEY VIEW BLVD
Second Line	:	UNIT U103
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8317
Country	:	US
Telephone Number	:	702-248-0056
Fax Number	:	702-889-0059

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RORY C CHIN
Credential	:
Telephone Number	:	702-248-0056

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	01/20/2009

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