Organization Active NPI

Advanced Home Care Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Garden Grove, CA
National Provider Identifier
1689776619
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANCED HOME CARE MEDICAL SUPPLY
Practice address
7659 Garden Grove Blvd
Garden Grove, CA 92841-4206
Phone
(714) 889-7071
Fax
(714) 889-7087
NPI assigned
Sep 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lawrence James Afaha Jr.
Title
President
Phone
(714) 889-7071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

7659 Garden Grove Blvd
Garden Grove, CA 92841-4206

Mailing address

7659 Garden Grove Blvd
P.O Box 53 Tustin Ca 92781
Garden Grove, CA 92841-4206
Phone (714) 889-7071

National Provider Directory

National Provider Directory
Tax ID family
Advanced Home Care Med Supp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7659 Garden Grove Blvd
Garden Grove, CA 92841
Phone (714) 889-7071

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689776619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7659 GARDEN GROVE BLVD",
            "address_2": "P.O BOX 53 TUSTIN CA 92781",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414206",
            "telephone_number": "714-889-7071",
            "fax_number": "714-889-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7659 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414206",
            "telephone_number": "714-889-7071",
            "fax_number": "714-889-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOME CARE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AFAHA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-889-7071",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.