Advanced Home Medical, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Elizabethtown, KY
NPI 1033925599 · NPPES record last updated Aug 11, 2025
Key facts
- NPI
- 1033925599
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ADVANCED HOME MEDICAL, LLC
- Practice address
- 2407 Ring Rd Ste 104
Elizabethtown, KY 42701-5938 - Phone
- (364) 654-9400
- Fax
- (364) 654-9401
- NPI assigned
- Dec 9, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVANCED HOME MEDICAL, LLC
Authorized official
- Name
- Sheila Roberson
- Title
- Compliance Officer
- Phone
- (602) 818-5258
Other NPIs with the same Medicare PAC ID 14
Corporate family (same tax ID) 14
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Advanced Home Medical LLC |
Blood Glucose Monitors/Supplies (Mail Order)|Tracheotomy Supplies|Continuous Positive Airway Pressure (CPAP) Devices|High Freq Chest Wall Oscillation Devices/Supplies|Mechanical In-Exsufflation Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devices|R… | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251008002059 | KY | DME Supplier - Medical Supply Company |
8628280492 | Practice locations: Elizabethtown, KY |
National Provider Directory
- Tax ID family
- Advanced Home Medical LLC
- Part of
- Advanced Home Medical LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
2407 Ring Rd Ste 104
Elizabethtown, KY 42701-5938
Mailing address
6414 S 118TH St
Omaha, NE 68137-3576
Phone (402) 281-4404
Other names
- Total Respiratory
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All providers in Elizabethtown, KY · Durable Medical Equipment & Medical Supplies in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.