Organization Active NPI

Advanced Home Care, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Aberdeen, NC
National Provider Identifier
1568436657
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00785 Issued in NC
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0494AOtherNCBCBSNC IV
8295OtherNCPARTNERS
0486POtherNCBCBSNC DME
7703805MedicaidNC

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

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

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.

Verify at the official NPI Registry.