Active NPI
Advanced Home Care, Inc.
- Durable Medical Equipment & Medical Supplies
- Sylva, NC
National Provider Identifier
1154472405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 00566
- Legal business name
- ADVANCED HOME CARE, INC.
- Practice address
- 567 W Main St
Sylva, NC 28779-5557 - Phone
- (828) 631-0068
- Fax
- (800) 311-7783
- NPI assigned
- Jan 15, 2007
- Organization subpart
- No
NPPES NPI Registry
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 00566 | NC | Primary |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 00566 | NC | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 00566 | NC |
Addresses
Primary practice location
567 W Main St
Sylva, NC 28779-5557
Mailing address
PO Box 18049
Greensboro, NC 27419-8049
Phone (336) 788-8950
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0494A | Other | NC | BCBS IV |
| 0486P | Other | NC | BCBSNC DME |
| 1013981 | Other | NC | UHC ACM |
| 77003219 | Medicaid | NC | |
| 8295 | Other | NC | PARTNERS |
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Greensboro, NC
- NPI 1265589097
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511222400000",
"number": "1154472405",
"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": "336-788-8950",
"fax_number": "800-311-7783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 W MAIN ST",
"city": "SYLVA",
"state": "NC",
"postal_code": "287795557",
"telephone_number": "828-631-0068",
"fax_number": "800-311-7783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-15",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "00566",
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "NC",
"license": "00566",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NC",
"license": "00566",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IV",
"identifier": "0494A",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC DME",
"identifier": "0486P",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC ACM",
"identifier": "1013981",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77003219",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "8295",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sylva, 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.