NPIMap

Organization Active NPI

Advanced Home Care, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • High Point, NC
National Provider Identifier
1104982644
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
HC0820 Issued in NC
Legal business name
ADVANCED HOME CARE, INC.
Practice address
4001 Piedmont Pkwy
High Point, NC 27265-9402
Phone
(336) 878-8950
Fax
(800) 311-7783
NPI assigned
Dec 29, 2006
Last updated
Nov 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Authorized official

Name
Mike Kalbaugh
Title
Credentialing Specialist
Phone
(336) 878-8824

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X HC0297 NC
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X HC0820 NC Primary

Addresses

Primary practice location

4001 Piedmont Pkwy
High Point, NC 27265-9402

Mailing address

PO Box 18049
Greensboro, NC 27419-8049
Phone (336) 878-8950

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1104982644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18049",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274198049",
            "telephone_number": "336-878-8950",
            "fax_number": "800-311-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 PIEDMONT PKWY",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659402",
            "telephone_number": "336-878-8950",
            "fax_number": "800-311-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "KALBAUGH",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "336-878-8824"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NC",
            "license": "HC0297",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NC",
            "license": "HC0820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.