Provider Demographics
NPI:1730363987
Name:ADVANCED HOME CARE SERVICES
Entity type:Organization
Organization Name:ADVANCED HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAGRIMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HARO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:626-233-8291
Mailing Address - Street 1:1335 S AZUSA AVE STE 216
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91792-3966
Mailing Address - Country:US
Mailing Address - Phone:626-917-2000
Mailing Address - Fax:626-917-2000
Practice Address - Street 1:1335 S AZUSA AVE STE 216
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91792-3966
Practice Address - Country:US
Practice Address - Phone:626-917-2000
Practice Address - Fax:626-917-2000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health