MEDICARE: ADVANTAGE SENIOR CARE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1821983289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE SENIOR CARE LLC

Provider Business Mailing Address
First Line	:	11211 KATY FWY SPC 645
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-2131
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11211 KATY FWY SPC 645
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-2131
Country	:	US
Telephone Number	:	281-892-9805
Fax Number	:

Authorized Official
Title or Position	:	OWNER, PRESIDENT
Name	:	DELENA DAVIS
Credential	:
Telephone Number	:	281-892-9805

Provider Enumeration Date	:	06/09/2025
Last Update Date	:	06/09/2025

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Directions to “ADVANTAGE SENIOR CARE LLC ” Practice Location

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