Healthcare Provider Details

I. General information

NPI: 1750399762
Provider Name (Legal Business Name): ADVANCED HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 02/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 BAY ST
GADSDEN AL
35901
US

IV. Provider business mailing address

PO BOX 27
GADSDEN AL
35902
US

V. Phone/Fax

Practice location:
  • Phone: 256-549-0630
  • Fax: 256-549-0633
Mailing address:
  • Phone: 256-549-0630
  • Fax: 256-549-0633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number StateAL

VIII. Authorized Official

Name: MRS. JUDY K CAMPBELL
Title or Position: CEO
Credential: PRESIDENT
Phone: 256-549-0630