ADVANCED HOME CARE INC. NPI 1063492726

NPI Information

NPI: 1063492726
Provider Name: ADVANCED HOME CARE, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 34D2215940

Address:
2520 WHITEHALL PARK DR
SUITE 950
CHARLOTTE, NC
ZIP 28273
Phone: (704) 831-5000
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ADVANCED HOME CARE, INC. is a durable medical equipment medical supplies in Charlotte, NC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ADVANCED HOME CARE, INC. NPI is 1063492726. The provider is registered as an organization entity type.

The provider's business location address is:

2520 WHITEHALL PARK DR
SUITE 950
CHARLOTTE, NC
ZIP 28273-557
Phone: (704) 831-5000
Fax: (877) 242-3291

The provider's authorized official is Mike Kalbaugh .
The authorized official title is Credentialing Specialist and has the following contact phone number (336) 878-8824.

The CLIA number assigned to this NPI record is 34D2215940 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 11/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251F00000X	Home Infusion		07151	NORTH CAROLINA	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		00355	NORTH CAROLINA	Yes
3	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	00355	NORTH CAROLINA	No
4	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	00355	NORTH CAROLINA	No
5	333600000X	Pharmacy		07151	NORTH CAROLINA	No
6	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy		NORTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7702486	MEDICAID	NORTH CAROLINA
2	6800431	MEDICAID	NORTH CAROLINA
3	8295	OTHER	NORTH CAROLINA	PARTNERS
4	1013981	OTHER	NORTH CAROLINA	UHC ACM
5	0494A	OTHER	NORTH CAROLINA	BCBSNC IV
6	0486P	OTHER	NORTH CAROLINA	BCBSNC DME
7	DE7291	MEDICAID	SOUTH CAROLINA
8	7N5113	MEDICAID	SOUTH CAROLINA
9	0609016	MEDICAID	NORTH CAROLINA
10	0244470006	MEDICARE NSC	NORTH CAROLINA
11	3429669	OTHER	NORTH CAROLINA	NCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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