ADVANCED HOME CARE INC. NPI 1619172236

NPI Information

NPI: 1619172236
Provider Name: ADVANCED HOME CARE, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
105 JACK WHITE DR
KINGSPORT, TN
ZIP 37664
Phone: (423) 230-8485
Get Directions

ADVANCED HOME CARE, INC. is a durable medical equipment medical supplies in Kingsport, TN. 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 1619172236. The provider is registered as an organization entity type.

The provider's business location address is:

105 JACK WHITE DR
KINGSPORT, TN
ZIP 37664-364
Phone: (423) 230-8485
Fax: (800) 311-7783

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 enumeration date for this NPI number is 6/15/2007 and was last updated on 7/24/2017.

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	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment		TENNESSEE	No
2	332BN1400X	Durable Medical Equipment & Medical Supplies	Nursing Facility Supplies		TENNESSEE	No
3	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	0000002963	TENNESSEE	No
4	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies		TENNESSEE	No
5	333600000X	Pharmacy		0000002963	TENNESSEE	No
6	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	0000002963	TENNESSEE	No
7	332B00000X	Durable Medical Equipment & Medical Supplies			TENNESSEE	Yes

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	4153575	OTHER	TENNESSEE	BCBSTN DME
2	4153574	OTHER	TENNESSEE	BCBSTN IV
3	301489	OTHER	VIRGINIA	ANTHEM IV
4	0244470016	MEDICARE NSC	TENNESSEE
5	300795	OTHER	VIRGINIA	ANTHEM DME

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »