Advanced Home Care, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Norcross, GA
NPI 1639415425 · NPPES record last updated Aug 9, 2018
Key facts
- NPI
- 1639415425
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- PHRE010124 (GA)
- Legal business name
- ADVANCED HOME CARE, INC.
- Practice address
- 5901 Goshen Springs Rd
Suite G
Norcross, GA 30071 - Phone
- (770) 449-6898
- Fax
- (800) 311-7783
- NPI assigned
- Dec 24, 2012
- Organization subpart
- No
Authorized official
- Name
- Mike Kalbaugh
- Title
- Credentialing Specialist
- Phone
- (336) 878-8824
Member of 3
National Provider Directory
Locations
5901 Goshen Springs Rd
Ste G
Norcross, GA 30071
Phone (770) 449-6898
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | PHRE010124 | GA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHRE010124 | GA | Yes |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | PHRE010124 | GA | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | PHWH003765 | GA | |
| Pharmacy | 333600000X | PHRE010124 | GA | |
| Home Infusion Therapy Pharmacy | 3336H0001X | PHRE010124 | GA |
Addresses
Primary practice location
5901 Goshen Springs Rd
Suite G
Norcross, GA 30071
Mailing address
PO Box 18049
Greensboro, NC 27419-8049
Phone (336) 878-8950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 975916385A | Medicaid | GA |
Other providers in Norcross, GA
- Shola Adesoji
- Samantha Anne Adkins
- Laurent Adler
- Advance Pain Management LLC.
- Advanced Home Care Inc
- Todd S. Afferica
- Jonathan Ahaddian
- Hannan Ahmed
- Nicole Lynne Albert
- Alegis Care Services LLC
All providers in Norcross, GA · Durable Medical Equipment & Medical Supplies in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.