ADVANCE HEALTHCARE PROVIDERS LLC — NPI 1174085633 (CMS-Certified Home Health Care & Skilled Nursing Agency in CLINTON, MD)

CMS-1500 Box 24J / 33a • NPI

1174085633

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

374U00000X

CMS-Certified Home Health Care & Skilled Nursing Agency

Box 32 Service Location & ZIP+4

2709 PUMPKIN ST, CLINTON, MD, 20735-1057

✓ 9-Digit EDI 837 ZIP+4 (20735-1057)

Practice Phone & Referral Fax

(240) 606-0242

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1174085633 (ADVANCE HEALTHCARE PROVIDERS LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1174085633` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCE HEALTHCARE PROVIDERS LLC
Plain-English Specialty	CMS-Certified Home Health Care & Skilled Nursing Agency NUCC Code: `374U00000X` (Home Health Aide)
Certifying / Licensing Body	CMS Home Health Conditions of Participation / CHAP / ACHC
Practice Location Address	2709 PUMPKIN ST, CLINTON, MD, 20735-1057
Practice Telephone / Fax	Tel: (240) 606-0242
Administrative Mailing Address	2709 PUMPKIN ST, CLINTON, MD, 20735-1057
Enumeration & Last Sync	Enumerated: 2019-04-03 \| CMS Record Updated: 2019-04-03
Authorized Official	JAPHET MUTANGA (ADMINISTRATOR)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2709 PUMPKIN ST, CLINTON, MD, 20735-1057

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Plain-English Taxonomy & CMS Crosswalk (374U00000X)

What Does Taxonomy Code 374U00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 374U00000X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: CMS Home Health Conditions of Participation / CHAP / ACHC
Clinical Scope: Post-hospital discharge recovery, homebound skilled nursing, physical therapy after joint replacement, or home IV antibiotic therapy.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCE HEALTHCARE PROVIDERS LLC)

Typical CPT / Diagnostic Procedures:

In-Home Skilled Nursing Wound Care, Ostomy & Catheter Management
Home Intravenous Antibiotic Infusion (OPAT) & Post-Stroke Rehabilitation

Common Therapeutic Classes:

Home Infusion Antimicrobials, Anticoagulants & Insulin Titration

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: N/A \| License: `Verified` \| Primary: Secondary
`164W00000X` — Licensed Practical Nurse Plain English: Licensed & Credentialed Licensed Practical Nurse	State: N/A \| License: `Verified` \| Primary: Secondary
`253Z00000X` — In Home Supportive Care Plain English: Licensed & Credentialed In Home Supportive Care	State: N/A \| License: `Verified` \| Primary: Secondary
`374U00000X` — Home Health Aide Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCE HEALTHCARE PROVIDERS LLC (NPI #1174085633)