OrganizationActive
Advantage Home Care LLC
NPI 1336447465 · Home Health Agency · Clay, WV
Provider details
- NPI number
- 1336447465
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lisa Taylor, Executive Director/Owner(304) 587-9992
- License
- 22475308 (WV)
Specialties & taxonomies
Agencies
Practice location
15 Bank St
Clay, WV 25043
Phone: (304) 587-9992
Fax: (304) 587-9993
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 835
Clay, WV 25043-0835
Registry dates
- Enumerated
- 2011-03-15
- Last updated
- 2020-12-04
- Certified
- 2020-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.