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General NPI Number Information
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NPI Number | 1063492726
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Entity Type | Organization
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Legal Business Name | ADVANCED HOME CARE, INC.
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 11/21/2017
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Provider Practice Location Address
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Address Line | 2520 WHITEHALL PARK DR SUITE 950
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City | CHARLOTTE
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State | NC
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Zip | 28273-3557
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Country | US
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Telephone | 704-831-5000
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Fax | 877-242-3291
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Provider Business Mailing Address
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Address Line | PO BOX 18049
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City | GREENSBORO
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State | NC
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Zip | 27419-8049
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Country | US
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Telephone | 336-878-8950
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Fax | 336-878-8896
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MIKE KALBAUGH
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Credential |
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Telephone | 336-878-8824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 07151
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 00355
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 00355
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 07151
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 00355
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License Number State | NC
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