Provider Demographics
NPI:1902553936
Name:ADVANTAGE ADULT HEALTHCARE LLC
Entity Type:Organization
Organization Name:ADVANTAGE ADULT HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PADUREANU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-578-0058
Mailing Address - Street 1:12415 N 149TH DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-6907
Mailing Address - Country:US
Mailing Address - Phone:623-236-3477
Mailing Address - Fax:623-236-3477
Practice Address - Street 1:12415 N 149TH DR
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-6907
Practice Address - Country:US
Practice Address - Phone:623-236-3477
Practice Address - Fax:623-236-3477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home