ADVANTAGE PLUS HOMECARE, INC.
Nursing Care, Pediatric
Jasper, Texas
Provider NPI: 1194760165
Organization Information:Organization Name: ADVANTAGE PLUS HOMECARE, INC.
Practice Location:
853 NORTH ZAVALLA ST. JASPER, TX 75951 US
Tel: 409-489-1496 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
853 NORTH ZAVALLA ST. JASPER, TX 75951 US
Tel: 409-489-1496 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | TX | 007991 |
Y | 251E00000X | Agencies Home Health | TX | 007991 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
154276301 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin