ADVANCE GROUP L.L.C. NPI 1699777979

NPI Information

  • NPI: 1699777979
  • Provider Name: ADVANCE GROUP L.L.C.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: ADVANCE GROUP MEDICAL SUPPLY & EQUIPMENT
  • Address: 1328 REISTERSTOWN RD
    STE C
    PIKESVILLE, MD
    ZIP 21208
  • Phone: (410) 580-2040

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NPI Details

ADVANCE GROUP L.L.C. is a durable medical equipment medical supplies in Pikesville, MD. 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. ADVANCE GROUP L.L.C. NPI is 1699777979. The provider is registered as an organization entity type.
The provider Is Doing Business As Advance Group Medical Supply & Equipment.

The provider's business location address is:

1328 REISTERSTOWN RD
STE C
PIKESVILLE, MD
ZIP 21208-838
Phone: (410) 580-2040
Fax: (410) 580-2060

The provider's authorized official is Yeduard Pastushenko .
The authorized official title is President and has the following contact phone number (410) 580-2040.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 4/20/2008.

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
1332B00000XDurable Medical Equipment & Medical SuppliesR2173MARYLANDYes

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
1383603700MEDICAIDMARYLAND
21000039562MEDICAIDDELAWARE
3383602900MEDICAIDMARYLAND
4=========OTHERMARYLANDUNITEDHEALTHCARE
5=========OTHERMARYLANDMARYLAND PHYSICIANS CARE
6406372400MEDICAIDMARYLAND
7=========OTHERMARYLANDUHC-AMERICHOICE OF MD
85270510001MEDICARE NSC

What is NPI?

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This page was last updated on: 11/21/2025

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