MEDICARE: ADVANCED HOME HEALTH, 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	253Z00000X	In Home Supportive 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

General Provider Information

NPI Number	:	1831193366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	867 NATIONAL RD
Second Line	:
City	:	BRIDGEPORT
State	:	OH
Zip	:	43912-1464
Country	:	US
Telephone Number	:	740-699-7007
Fax Number	:	740-699-7006

Provider Business Practice Location Address
First Line	:	867 NATIONAL RD
Second Line	:
City	:	BRIDGEPORT
State	:	OH
Zip	:	43912-1464
Country	:	US
Telephone Number	:	740-699-7007
Fax Number	:	740-699-7006

Authorized Official
Title or Position	:	OWNER
Name	:	MR. BRUCE ALLEN SMITH
Credential	:
Telephone Number	:	740-699-7007

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	11/24/2025

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