NPIMap

Organization Active NPI

Advantage Medical Supply, Inc.

Doing business as Advantage Home Medical, Inc.

  • Oxygen Equipment & Supplies (DME)
  • South Salt Lake, UT
National Provider Identifier
1023726171
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
ADVANTAGE MEDICAL SUPPLY, INC.
Doing business as
Advantage Home Medical, Inc.
Practice address
2880 S Main St Ste 100
South Salt Lake, UT 84115-6001
Phone
(385) 290-9527
Fax
(888) 775-8787
NPI assigned
Nov 8, 2022
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANTAGE MEDICAL SUPPLY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shane Evan Meacham
Title
President
Phone
(435) 734-0488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

2880 S Main St Ste 100
South Salt Lake, UT 84115-6001

Mailing address

953 W 700 N Ste 103
Logan, UT 84321-7801
Phone (435) 770-7181

Other names 1

  • Advantage Home Medical, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250130003022 UT DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & Equipment 0941320683 Practice locations: South Salt Lake, UT

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Advantage Medical Supply Inc2880 S Main St, South Salt Lake, UT 84115-6001(385) 290-9527 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: P… Does not accept assignmentParticipating since Jan 1, 2009

National Provider Directory

National Provider Directory
Tax ID family
Advantage Medical Supply Inc8 organizations share this tax ID, including this one
Part of
Advantage Medical Supply Inc

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

953 W 700 N
Ste 103
Logan, UT 84321
Phone (435) 770-7181

15 W Louise Ave
South Salt Lake, UT 84115

2880 S Main St
Ste 100
South Salt Lake, UT 84115
Phone (385) 290-9527

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1023726171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 W 700 N STE 103",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843217801",
            "telephone_number": "435-770-7181",
            "fax_number": "888-775-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 S MAIN ST STE 100",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841156001",
            "telephone_number": "385-290-9527",
            "fax_number": "888-775-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE MEDICAL SUPPLY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANTAGE MEDICAL SUPPLY, INC.",
        "enumeration_date": "2022-11-08",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "MEACHAM",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-734-0488"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Home Medical, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advantage Home Medical, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.