ADVANTAGE HOME CARE, INC. (NPI# 1205887452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205887452 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE HOME CARE, INC. |
| Other Organization Name | CORUS HEALTH |
| Practice Address |
8725 Alameda Park Dr Ne Albuquerque NM 87113-2475 |
| Mailing Address |
Po Box 91000 Albuquerque NM 87199-1000 |
| Practice Telephone | 5058280232 |
| Practice Fax Number | 5052120790 |
| Mailing Telephone | 5058280232 |
| Mailing Fax Number | 5052120790 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | REYNOLD BUNZEL (OWNER/OPERATOR) |
| Authorized Official Telephone | 5058280232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 251G00000X | Hospice Care, Community Based | 3326 | NM | Agencies |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
CNP01260 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 251E00000X | Home Health | 3167 | NM | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 57003335 | 05 | |
| NM | 88085830 | 05 |
| Other Name | Type Code |
|---|---|
| Corus Health | Doing Business As Name - Organization |
| OnPointe at Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942717954 | Advantage Home Care, Inc. | In Home Supportive Care | 831 Ne 7th St Ste 102, Grants Pass, OR 97526-1604 | 2017-12-29 |
| 1811139140 | Advantage Home Care, Inc. | Home Health | 8436 Silver Way, Tampa, FL 33615-6031 | 2009-04-01 |
| 1114967999 | Advantage Home Care, Inc. | Home Health | 1406 Eureka Rd, Wyandotte, MI 48192-6102 | 2006-06-08 |
| 1457969750 | Advantage Home Care, Inc. | Nurse Practitioner | 8725 Alameda Park Dr Ne, Albuquerque, NM 87113-2475 | 2020-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ADVANTAGE HOME CARE, INC. | 831 Ne 7th St #102, Grants Pass, OR 97526 |
| Street Address |
8725 ALAMEDA PARK DR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87113-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969750 | Advantage Home Care, Inc. | Nurse Practitioner | 8725 Alameda Park Dr Ne, Albuquerque, NM 87113-2475 | 2020-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952944613 | Wendy Valenciano Flores | Behavior Technician | 9019 Washington St Ne Building A, Albuquerque, NM 87113 | 2019-10-24 |
| 1336608504 | Southwestern Provider Services LLC | Registered Nurse | 6400 Paseo Del Norte, Albuquerque, NM 87113 | 2019-03-18 |
| 1376047795 | Anne K. Hempstead D.d.s., P.C. | Dentist | 6400 Holly Ave Ne Ste M, Albuquerque, NM 87113 | 2018-03-20 |
| 1447769518 | Ethan Grant | Behavior Technician | 8500 Washington St Ste A1, Albuquerque, NM 87113 | 2017-09-21 |
| 1215451083 | Sarah Bartlett | Behavior Technician | 8500 Washington St, Ste A1, Albuquerque, NM 87113 | 2017-08-02 |
| 1396109906 | Cathy A Walters | Specialist/Technologist | 532 Osuna Rd Ne, Albuquerque, NM 87113 | 2016-04-09 |
| 1518389824 | Esther Sanchez | Home Health Aide | 6800 Vista Del Norte Drive, 2814, Albuqerque, NM 87113 | 2014-01-07 |
| 1356775456 | Danielle Juliet Fichera | Social Worker | 315 Alameda Park Dr, Ne, Albuquerque, NM 87113 | 2013-08-26 |
| 1093053340 | Eagle Pointe Dentists and Orthodontics, LLC | Dentist | 6230 Paseo Del Norte Ne, Suite B, Albuquerque, NM 87113 | 2013-01-22 |
| 1922346428 | Keith Levitt | Anesthesiology | 8100 Wyoming Blvd Ne #712, Suite M4, Albuquerque, NM 87113 | 2013-01-18 |
| Find all providers in zip 87113 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386977 | Gina D Padilla | Home Health | 1307 San Pedro Dr Ne, Albuquerque, NM 87110-6727 | 2020-11-04 |
| 1598365066 | Ricelands Home Health Care and Hospice LLC | Home Health | 9215 Layton Ave Ne, Albuquerque, NM 87111-1335 | 2020-10-26 |
| 1073135216 | At Home Not Alone Care, LLC | Home Health | 3410 Anderson Ave Se Rear, Albuquerque, NM 87106-2408 | 2020-05-11 |
| 1396370383 | Md Health Care LLC | Home Health | 8019 Edith Blvd Ne Ste 206, Albuquerque, NM 87113-1433 | 2020-03-10 |
| 1124650817 | United One Home Care LLC | Home Health | 3321b Candelaria Rd Ne Ofc 320, Albuquerque, NM 87107-1908 | 2020-02-10 |
| 1316595184 | Simplicity Home Health Care | Home Health | 7920 Mountain Rd Ne Ste B, Albuquerque, NM 87110-7800 | 2019-08-26 |
| 1952960817 | Mary T Martinez | Home Health | 585 Osuna Rd Ne Ste F, Albuquerque, NM 87113-1084 | 2019-06-12 |
| 1689230658 | Norma Araceli Ortega | Home Health | 9319 Starboard Rd Nw, Albuquerque, NM 87121-1968 | 2019-05-15 |
| 1134618432 | Alexis Duran | Home Health | 11005 Desert Dreamer St Nw, Albuquerque, NM 87114-6509 | 2018-05-02 |
| 1821599226 | La Vita Bella Home Health LLC | Home Health | 5901 Indian School Rd Ne Ste 102, Albuquerque, NM 87110-5200 | 2018-02-22 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87113 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.