Provider Demographics
NPI:1689497026
Name:ADVOCATE HEALTHCARE SERVICES
Entity type:Organization
Organization Name:ADVOCATE HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:KASONGO
Authorized Official - Last Name:CHOWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-410-9126
Mailing Address - Street 1:17910 28TH AVE N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-1625
Mailing Address - Country:US
Mailing Address - Phone:651-410-9126
Mailing Address - Fax:
Practice Address - Street 1:17910 28TH AVE N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-1625
Practice Address - Country:US
Practice Address - Phone:763-317-0563
Practice Address - Fax:763-205-8871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2025-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care