Advanced Home Care Inc
Organization Active NPI Home Infusion Therapy Pharmacy · Kingsport, TN
NPI 1215134309 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1215134309
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Infusion Therapy Pharmacy 3336H0001X
- License
- 000002963 (TN)
- Legal business name
- ADVANCED HOME CARE INC
- Practice address
- 105 Jack White Dr
Kingsport, TN 37664 - Phone
- (423) 378-7330
- Fax
- (800) 311-7783
- NPI assigned
- Jul 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Mike Kalbaugh
- Title
- Credentialing Specialist
- Phone
- (336) 878-8824
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Advanced Home Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | 000002963 | TN | Yes |
Addresses
Primary practice location
105 Jack White Dr
Kingsport, TN 37664
Mailing address
PO Box 18049
Greensboro, NC 27419-8049
Phone (336) 878-8950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q032329 | Medicaid | TN | |
| 1215134309 | Medicaid | VA |
Other providers in Kingsport, TN
- Gary L Adelson
- Cecilie B Aderholdt
- Nimesh Adhikari
- Jeremy S Adkins
- Adoration Home Health Care Virginia LLC
- Advanced Home Care, Inc.
- Advanced Therapy of Kingsport
- Agilitas USA, Inc
- Agilitas USA, Inc
- Agilitas USA, Inc.
All providers in Kingsport, TN · Home Infusion Therapy Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.