ADVANCED HOME CARE, INC (NPI# 1477968931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477968931 |
| Entity Type | Organization |
| Organization Name | ADVANCED HOME CARE, INC |
| Practice Address |
3780 Eisenhower Pkwy 5 Macon GA 31206-0805 |
| Mailing Address |
Po Box 18049 Greensboro NC 27419-8049 |
| Practice Telephone | 4787856455 |
| Practice Fax Number | 8003117783 |
| Mailing Telephone | 8008688822 |
| Mailing Fax Number | 8003117783 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2017-11-21 |
| Authorized Official Name | MIKE KALBAUGH (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 3368788824 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
TO BE ISSUED | GA | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
TO BE ISSUED | GA | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
TO BE ADDED | GA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | TO BE ISSUED | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003161782A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770856460 | Advanced Home Care, Inc | Home Health | 7669 Limestone Dr, Suite 120, Gainesville, VA 20155-4037 | 2012-02-11 |
| 1811358393 | Advanced Home Care, Inc | Home Health | 1088 Rice St, Suite B, Saint Paul, MN 55117-2906 | 2016-03-11 |
| 1447680392 | Advanced Home Care, Inc | Home Infusion | 1231 Ne Maynard Rd, Cary, NC 27513 | 2013-11-13 |
| 1982944393 | Advanced Home Care, Inc | Durable Medical Equipment & Medical Supplies | 7669 Limestone Dr, Suite 120, Gainesville, VA 20155-4037 | 2013-02-21 |
| 1831409192 | Advanced Home Care, Inc | Durable Medical Equipment & Medical Supplies | 1406b W Innes St, Salisbury, NC 28144-2502 | 2010-10-20 |
| 1336220235 | Advanced Home Care, Inc | Home Infusion | 72 Saint Johns Place Rd, Salem, VA 24153 | 2006-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ADVANCED HOME CARE, INC. | 161 Morse St., Norwood, MA 02062 |
| Street Address |
3780 EISENHOWER PKWY 5 |
| City | MACON |
| State | GA |
| Zip Code | 31206-0805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861492720 | Harry S Strothers IIi | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2005-07-21 |
| 1538621172 | Michael Prasad Reddy-miller | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2019-04-03 |
| 1982166757 | Latora Williams | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2019-04-02 |
| 1316409063 | Jean-philippe Morisset | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2019-04-02 |
| 1184186033 | Michael Tyler Land | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2019-04-01 |
| 1346702172 | Alayna Dukes | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
| 1407318215 | Philomise Moncion | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
| 1902398282 | Parth Kiritkumar Patel | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2018-06-03 |
| 1013409317 | Shuichi Nakai | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2018-06-01 |
| 1841797289 | Christal Marie Uthaman | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2018-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992267892 | Andel Anthony Higgins | Family Medicine | 3780 Eisenhower Parkway, Macon, GA 31206 | 2019-04-01 |
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1003337718 | Shantha Tyhessia Jones | Home Health | 2453 Shea Drive, Macon, GA 31206 | 2017-07-03 |
| 1043683527 | Autumn Anderson Lucas | Nurse Practitioner | 100 University Parkway, Macon, GA 31206 | 2015-11-05 |
| 1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
| 1710956750 | Total Renal Care Inc | Clinic/Center | 2494 2nd St, Macon, GA 31206 | 2006-03-14 |
| 1396710828 | Ruth Macphie Hagemann | Counselor | 100 University Pkwy, Macon, GA 31206 | 2006-02-20 |
| 1609861129 | Rickey Harton Jr. | Optometrist | 3353 Mercer University Drive, Macon, GA 31206 | 2005-09-12 |
| 1104453711 | Lise Wendy Forestal | Student in an Organized Health Care Education/Training Program | 3780 Eisenhower Parkway, Macon, GA 31206 | 2020-03-24 |
| 1073063228 | Eisenhower Parkway Dental Group, LLC | Dentist | 1536 Eisenhower Pkwy, Macon, GA 31206 | 2016-10-12 |
| Find all providers in zip 31206 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093339954 | Medical Hotspots, Inc | Durable Medical Equipment & Medical Supplies | 4794 Mercer University Dr Ste A, Macon, GA 31210-6220 | 2020-06-05 |
| 1336784966 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5581 Thomaston Rd, Macon, GA 31220-8119 | 2019-11-07 |
| 1942768536 | R-en Inc | Durable Medical Equipment & Medical Supplies | 1140 S Jackson Springs Rd, Macon, GA 31211-1439 | 2019-03-04 |
| 1154894111 | Joshua Joseph Sale | Durable Medical Equipment & Medical Supplies | 555 Poplar St Ste 25, Macon, GA 31201-2741 | 2019-01-02 |
| 1679843825 | Central Georgia Health Ventures, Inc | Durable Medical Equipment & Medical Supplies | 800 1st St Ste 100, Macon, GA 31201-8395 | 2012-01-05 |
| 1023395738 | Shelter Dean | Durable Medical Equipment & Medical Supplies | 3130 Mercer University Dr, Macon, GA 31204-5109 | 2011-11-08 |
| 1164704391 | Sleepmed of Central Georgia | Durable Medical Equipment & Medical Supplies | 606 Cherry St, Suite 440, Macon, GA 31201-2624 | 2011-09-14 |
| 1790063428 | Miller Rexall Drug, Inc. | Durable Medical Equipment & Medical Supplies | 115 Vine Street, Macon, MO 63552-1654 | 2011-07-29 |
| 1073819660 | Atlanta Prosthetics & Orthotics of Macon, LLC | Durable Medical Equipment & Medical Supplies | 869 Walnut Street, Macon, GA 31201 | 2011-01-31 |
| 1437460136 | Diabetic Care Management | Durable Medical Equipment & Medical Supplies | 219 River Hills Rdg, Macon, GA 31211-6339 | 2010-06-28 |
| Find all providers in MACON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.