Provider Demographics
NPI:1609872944
Name:ADVANCED HOME CARE INC.
Entity type:Organization
Organization Name:ADVANCED HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ASHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-231-0099
Mailing Address - Street 1:6031 E MAIN ST # 220
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-3590
Mailing Address - Country:US
Mailing Address - Phone:614-231-0099
Mailing Address - Fax:614-231-0097
Practice Address - Street 1:6501 E LIVINGSTON AVE STE 1
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-3561
Practice Address - Country:US
Practice Address - Phone:614-231-0099
Practice Address - Fax:614-231-0097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0146256Medicaid
OH0146256Medicaid