Advanced Home Care Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

PHRE010124 Issued in GA

Legal business name

ADVANCED HOME CARE INC

Practice address

5901 Goshen Springs Rd
Ste G
Norcross, GA 30071

Phone

(770) 449-6898

Fax

(800) 311-7783

NPI assigned

Nov 25, 2013

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mike Kalbaugh

Title

Credentialing Specialist

Phone

(336) 878-8824

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1851721047",
    "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": "5901 GOSHEN SPRINGS RD",
            "address_2": "STE G",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30071",
            "telephone_number": "770-449-6898",
            "fax_number": "800-311-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KALBAUGH",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "336-878-8824"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "GA",
            "license": "PHRE010124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1164805",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003141266A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Danielle Adams, FNP-C
• Shola Adesoji, DMD
• Samantha Anne Adkins, DPT, GCS
• Laurent Adler
• Advance Pain Management LLC.
• Advanced Home Care, Inc.
• Todd S. Afferica, DDS
• Jonathan Ahaddian, DDS
• Hannan Ahmed
• Nicole Lynne Albert, LPC

• Home Infusion Therapy Pharmacy in Norcross, GA
• Providers in Norcross, GA by specialty
• Home Infusion Therapy Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.