NPIMap

Organization Active NPI

Advacare Home Services Inc

  • Oxygen Equipment & Supplies (DME)
  • Winston Salem, NC
National Provider Identifier
1558052878
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
ADVACARE HOME SERVICES INC
Practice address
3908 Westpoint Blvd Ste B
Winston Salem, NC 27103-6757
Phone
(336) 840-1020
NPI assigned
May 17, 2023
Last updated
May 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Michael Thomas Conner
Title
President
Phone
(412) 373-1472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

3908 Westpoint Blvd Ste B
Winston Salem, NC 27103-6757

Mailing address

4451 State Route 66
Apollo, PA 15613-2053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231207003322 NC DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 8022139823 Practice locations: Winston Salem, NC

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Advacare Home Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8 Oak Branch Dr
Ste A
Greensboro, NC 27407
Phone (336) 840-1020

3908 Westpoint Blvd
Ste B
Winston Salem, NC 27103
Phone (336) 840-1020

160 Pittsburgh St
Ste 10A
Uniontown, PA 15401
Phone (412) 249-9000

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1558052878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 STATE ROUTE 66",
            "city": "APOLLO",
            "state": "PA",
            "postal_code": "156132053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 WESTPOINT BLVD STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036757",
            "telephone_number": "336-840-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVACARE HOME SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-373-1472"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.