MEDICARE: ADVANCE HOME 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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1982564993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCE HOME CARE LLC

Provider Business Mailing Address
First Line	:	3605 W BETHANY HOME RD APT 10
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85019-1960
Country	:	US
Telephone Number	:	480-745-9593
Fax Number	:

Provider Business Practice Location Address
First Line	:	3605 W BETHANY HOME RD APT 10
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85019-1960
Country	:	US
Telephone Number	:	480-745-9593
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ZUBEIR AHMED ALI
Credential	:
Telephone Number	:	480-745-9593

Provider Enumeration Date	:	11/12/2025
Last Update Date	:	12/01/2025

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Directions to “ADVANCE HOME CARE LLC ” Practice Location

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