Advance Care DME & Medical Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ADVANCE CARE DME & MEDICAL SUPPLIES, LLC

Practice address

199 Charmant PL Ste 2
Ridgeland, MS 39157-4358

Phone

(601) 605-2380

NPI assigned

May 9, 2015

Organization subpart

Yes

Parent organization

ROYAL ALLIANCE, LLCAs reported in NPPES

Name

Mr. Douglas Banks

Title

Owner/Managing Member

Phone

(601) 826-3735

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2017.

{
    "created_epoch": "1431129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1760860811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 CHARMANT PL STE 2",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574358",
            "telephone_number": "601-605-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 CHARMANT PL STE 2",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574358",
            "telephone_number": "601-605-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CARE DME & MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROYAL ALLIANCE, LLC",
        "enumeration_date": "2015-05-09",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "601-826-3735",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENCE",
            "identifier": "800242756",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.