NPIMap

Organization Active NPI

Advanced Home Care, Inc

  • Home Health Agency
  • Gainesville, VA
National Provider Identifier
1770856460
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
TO BE ISSUED Issued in VA
Legal business name
ADVANCED HOME CARE, INC
Practice address
7669 Limestone Dr
Suite 120
Gainesville, VA 20155-4037
Phone
(703) 656-2063
Fax
(800) 311-7783
NPI assigned
Feb 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Michael Kalbaugh
Title
Credentialing Specialist
Phone
(336) 878-8824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TO BE ISSUED VA Primary

Addresses

Primary practice location

7669 Limestone Dr
Suite 120
Gainesville, VA 20155-4037

Mailing address

PO Box 18049
Greensboro, NC 27419-8049
Phone (336) 878-8950

National Provider Directory

National Provider Directory

Member of 3

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

Locations

7669 Limestone Dr
Ste 120
Gainesville, VA 20155
Phone (703) 656-2063

NPI Registry JSON

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

{
    "created_epoch": "1328918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1770856460",
    "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": "336-878-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7669 LIMESTONE DR",
            "address_2": "SUITE 120",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554037",
            "telephone_number": "703-656-2063",
            "fax_number": "800-311-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-11",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "KALBAUGH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "336-878-8824"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "TO BE ISSUED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.