Active NPI
Advanced Home Care, Inc.
- Durable Medical Equipment & Medical Supplies
- Aberdeen, NC
National Provider Identifier
1568436657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 00785
- Legal business name
- ADVANCED HOME CARE, INC.
- Practice address
- 1806 N Sandhills Blvd
Aberdeen, NC 28315-2336 - Phone
- (910) 295-4119
- Fax
- (800) 311-7783
- NPI assigned
- Feb 15, 2006
- Last updated
- Jun 6, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 00785 | NC | Primary |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | HC0454 | NC | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 00785 | NC |
Addresses
Primary practice location
1806 N Sandhills Blvd
Aberdeen, NC 28315-2336
Mailing address
PO Box 18049
Greensboro, NC 27419-8049
Phone (336) 878-8950
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0494A | Other | NC | BCBSNC IV |
| 8295 | Other | NC | PARTNERS |
| 0486P | Other | NC | BCBSNC DME |
| 7703805 | Medicaid | NC |
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Cone Health Community Pharmacy at MedCenter Greensboro
- Pharmacy
- Greensboro, NC
- NPI 1497414197
Member Of
-
dba Bhrhc Hancock
- Rural Health Clinic/Center
- Sneedville, TN
- NPI 1568905925
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1496707200000",
"number": "1568436657",
"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": "336-878-8853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 N SANDHILLS BLVD",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283152336",
"telephone_number": "910-295-4119",
"fax_number": "800-311-7783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-15",
"last_updated": "2017-06-06",
"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": "00785",
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "NC",
"license": "HC0454",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NC",
"license": "00785",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC IV",
"identifier": "0494A",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "8295",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC DME",
"identifier": "0486P",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7703805",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, NC
- Aberdeen Eye Care Associates, OD PLLC (Eye Care Associates)
- Aberdeen Physical Therapy and Wellness, LLC
- Accordius Health at Aberdeen LLC (Dahlia Gardens Center for Nursing and Rehabilitation)
- Active Wellness Counseling, PLLC
- Francesca Marie Agostini, RPH
- Allen L Brooks Professional Counseling Service
- Audiology of the Sandhills, Inc
- Linda C. Aycock, LPC
- Casey Ann Criscione Backus, MPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.