Advanced Homecare, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5-02038 Issued in KS

Legal business name

ADVANCED HOMECARE, LLC

Practice address

2851 Iowa St
Lawrence, KS 66046-4172

Phone

(785) 841-2200

Fax

(785) 841-7003

NPI assigned

Aug 5, 2006

Last updated

Jan 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra Gene London-Leib

Title

Ceo/Owner

Phone

(785) 841-2200

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1508875220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 IOWA ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660464172",
            "telephone_number": "785-841-2200",
            "fax_number": "785-841-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 IOWA ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660464172",
            "telephone_number": "785-841-2200",
            "fax_number": "785-841-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "LONDON-LEIB",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "785-841-2200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "5-02038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "0000118112",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100455900A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.