Active NPI
Advanced Home Care, Inc
- Home Infusion Agency
- Salem, VA
National Provider Identifier
1336220235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- Legal business name
- ADVANCED HOME CARE, INC
- Practice address
- 72 Saint Johns Place Rd
Salem, VA 24153 - Phone
- (540) 389-8121
- Fax
- (800) 311-7783
- NPI assigned
- Oct 18, 2006
- Last updated
- Jun 18, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | Primary |
Addresses
Primary practice location
72 Saint Johns Place Rd
Salem, VA 24153
Mailing address
PO Box 18049
Greensboro, NC 27419-8049
Phone (336) 878-8950
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010115591 | Medicaid | VA | |
| 168466 | Other | VA | ANTHEM |
| 432916 | Other | VA | ANTHEM |
| 1013981 | Other | VA | UHC ACM |
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Home Care Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Kingsport, TN
- NPI 1215134309
-
- Home Infusion Therapy Pharmacy
- High Point, NC
- NPI 1285715185
-
- Home Infusion Agency
- Rock Hill, SC
- NPI 1295047249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529280000000",
"number": "1336220235",
"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": "72 SAINT JOHNS PLACE RD",
"city": "SALEM",
"state": "VA",
"postal_code": "24153",
"telephone_number": "540-389-8121",
"fax_number": "800-311-7783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED HOME CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2018-06-18",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010115591",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "168466",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "432916",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC ACM",
"identifier": "1013981",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.