Provider Demographics
NPI:1902954209
Name:ADVOCARE, INC.
Entity Type:Organization
Organization Name:ADVOCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-454-2300
Mailing Address - Street 1:532 BROADHOLLOW RD STE 106
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3609
Mailing Address - Country:US
Mailing Address - Phone:631-454-2300
Mailing Address - Fax:
Practice Address - Street 1:532 BROADHOLLOW RD STE 106
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3609
Practice Address - Country:US
Practice Address - Phone:631-454-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1023070001Medicare ID - Type Unspecified