- Enrollment id
- O20060511000191
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1700819109
- Multiple npi flag
- N
- Ccn
- 147927
- Associate id
- 3173534716
- Organization name
- AVANT CARE HOME HEALTH CARE, INC.
- Incorporation date
- 2005-06-30
- Incorporation state
- IL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2720 S RIVER RD
- Address line 2
- STE 101
- City
- DES PLAINES
- State
- IL
- Zip code
- 600184110