Provider Demographics
NPI:1871367060
Name:ADVANTAGE CARE GROUP LLC
Entity type:Organization
Organization Name:ADVANTAGE CARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINYERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-617-6435
Mailing Address - Street 1:16731 BEECHNUT ST APT 1409
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6648
Mailing Address - Country:US
Mailing Address - Phone:281-617-6435
Mailing Address - Fax:
Practice Address - Street 1:16731 BEECHNUT ST APT 1409
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6648
Practice Address - Country:US
Practice Address - Phone:281-617-6435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child