Organization Active NPI

Advanced Home Care, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Sylva, NC
National Provider Identifier
1154472405
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00566 Issued in NC
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

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0494AOtherNCBCBS IV
0486POtherNCBCBSNC DME
1013981OtherNCUHC ACM
77003219MedicaidNC
8295OtherNCPARTNERS

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": "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.

Verify at the official NPI Registry.