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ADVANTAGE HOME CARE INC. NPI 1205887452


NPI Information

NPI: 1205887452
Provider Name: ADVANTAGE HOME CARE, INC.

Doing Business As: CORUS HEALTH

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 32D1027217

Address:
8725 ALAMEDA PARK DR NE
ALBUQUERQUE, NM
ZIP 87113
Phone: (505) 828-0232
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ADVANTAGE HOME CARE, INC. is a home health in Albuquerque, NM. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. ADVANTAGE HOME CARE, INC. NPI is 1205887452. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Corus Health.

The provider's business location address is:

8725 ALAMEDA PARK DR NE
ALBUQUERQUE, NM
ZIP 87113-475
Phone: (505) 828-0232
Fax: (505) 212-0790

The provider's authorized official is Reynold Bunzel .
The authorized official title is Owner/operator and has the following contact phone number (505) 828-0232.

The CLIA number assigned to this NPI record is 32D1027217 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 7/23/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2251G00000XHospice Care, Community Based3326NEW MEXICONo
3363LP2300XNurse PractitionerPrimary CareCNP01260NEW MEXICONo
4251E00000XHome Health3167NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
157003335MEDICAIDNEW MEXICO
288085830MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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