Advanced Home Care, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

01154 Issued in NC

Legal business name

ADVANCED HOME CARE, INC.

Practice address

1231 NE Maynard Rd
Cary, NC 27513-4175

Phone

(919) 852-0052

Fax

(800) 311-7783

NPI assigned

May 3, 2006

Last updated

Jul 24, 2017By 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

Mike Kalbaugh

Title

Credentialing Specialist

Phone

(336) 878-8824

Specialties & licenses 5

Addresses

Other identifiers 5

Member of 3

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

• Mission Hospital, Inc

  • Orthopaedic Surgery Physician
  • Spruce Pine, NC
  • NPI 1891222667

  Member Of

  NPD member
• The Moses H. Cone Memorial Hospital Operating Corporation

  dba Cone Health Community Pharmacy at MedCenter Greensboro

  • Pharmacy
  • Greensboro, NC
  • NPI 1497414197

  Member Of

  NPD member
• Wellmont Health System

  dba Bhrhc Hancock

  • Rural Health Clinic/Center
  • Sneedville, TN
  • NPI 1568905925

  Member Of

  NPD member

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1619935913",
    "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": "1231 NE MAYNARD RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134175",
            "telephone_number": "919-852-0052",
            "fax_number": "800-311-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2017-07-24",
        "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": "NC",
            "license": "HC3706",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "01154",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "01154",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NC",
            "license": "01154",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "01154",
            "primary": true
        }
    ],
    "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704500",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC DME",
            "identifier": "0486P",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC ACM",
            "identifier": "1013981",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advance Community Health, Inc
• Advance Community Health, Inc (Advance Community Health - Mobile Services)
• Advance Diagnostics of North Carolina
• Advanced Chiropractic Center PLLC
• Advanced Foot and Wound Care
• Advanced Physical Therapy
• Advanced Surgical Associates, PA
• Advanced Wound Care of NC Inc. (Advanced Sleep Technologies and Research, Inc)
• Aegis Medical Center PLLC
• Brooke Aeikens, DC

• Oxygen Equipment & Supplies (DME) in Cary, NC
• Providers in Cary, NC by specialty
• Oxygen Equipment & Supplies (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.