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

Last updated

Apr 11, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

ROYAL ALLIANCE, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Douglas Banks

Title

Owner/Managing Member

Phone

(601) 826-3735

Specialties & licenses 1

Addresses

Locations

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• 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.