Provider Demographics
NPI:1689055204
Name:ADVENT HOMECARE LLC
Entity type:Organization
Organization Name:ADVENT HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:KIHUMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-724-2538
Mailing Address - Street 1:363 MAIN ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-1886
Mailing Address - Country:US
Mailing Address - Phone:860-724-2538
Mailing Address - Fax:844-644-5247
Practice Address - Street 1:363 MAIN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-1886
Practice Address - Country:US
Practice Address - Phone:860-724-2538
Practice Address - Fax:844-644-5247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-10
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health