Organization Active NPI

Advanced Home Care Med Supp

  • Durable Medical Equipment & Medical Supplies
  • Orange, CA
National Provider Identifier
1790882835
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 MED SUPP
Practice address
475 N Tustin Ave
Orange, CA 92867-7778
Phone
(714) 628-9516
Fax
(714) 628-9764
NPI assigned
Sep 20, 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. Lawrance Afaha
Title
President Coo
Phone
(714) 628-9516

Specialties & licenses 1

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

Addresses

Primary practice location

475 N Tustin Ave
Orange, CA 92867-7778

Mailing address

475 N Tustin Ave
Orange, CA 92867-7778
Phone (714) 628-9516

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

475 N Tustin St
Orange, CA 92867
Phone (714) 628-9516

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790882835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 N TUSTIN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677778",
            "telephone_number": "714-628-9516",
            "fax_number": "714-628-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 N TUSTIN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677778",
            "telephone_number": "714-628-9516",
            "fax_number": "714-628-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOME CARE MED SUPP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AFAHA",
        "authorized_official_first_name": "LAWRANCE",
        "authorized_official_title_or_position": "PRESIDENT COO",
        "authorized_official_telephone_number": "714-628-9516",
        "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": []
}

Other providers in Orange, 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.