AMERITA SOUTH ATLANTIC LLC (NPI# 1750921011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750921011 |
| Entity Type | Organization |
| Organization Name | AMERITA SOUTH ATLANTIC LLC |
| Other Organization Name | ADVANCED HOME INFUSION |
| Practice Address |
30 Ebco Cir Ste 102 Waynesboro VA 22980-7374 |
| Mailing Address |
6912 S Quentin St Suite 50 Centennial CO 80112 |
| Practice Telephone | 5409323000 |
| Practice Fax Number | 8339940850 |
| Mailing Telephone | 7202825411 |
| Mailing Fax Number | 8773025251 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | JULIE ANGELA LUEDEMAN (CREDENTIALING ANALYST) |
| Authorized Official Telephone | 7202825411 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERITA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Advanced Home Infusion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841830197 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 1231 Ne Maynard Rd Ste A, Cary, NC 27513-4175 | 2020-01-14 |
| 1780224030 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 5901 Goshen Springs Rd Ste H, Norcross, GA 30071-3506 | 2020-01-14 |
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 2020-01-14 |
| 1801436365 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 105 Jack White Dr Ste B, Kingsport, TN 37664-2364 | 2020-01-13 |
| 1962041368 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 4001 Piedmont Pkwy Ste 150, High Point, NC 27265-9402 | 2020-01-02 |
| 1215559703 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2424 India Hook Rd Ste 130, Rock Hill, SC 29732-1278 | 2020-05-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Amerita South Atlantic LLC | 805 N Whittington Pkwy Ste 400, Louisville, Kentucky 40222-5186 |
| North Carolina Corporations | Amerita South Atlantic LLC | 2626 Glenwood Ave Ste 550, Raleigh, NC 27608 |
| Street Address |
30 EBCO CIR STE 102 |
| City | WAYNESBORO |
| State | VA |
| Zip Code | 22980-7374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043649635 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 30 Ebco Cir Ste 102, Waynesboro, VA 22980 | 2013-11-05 |
| 1700411535 | Wesley Gibbs Hric | Pharmacist | 30 Ebco Cir Ste 102, Waynesboro, VA 22980-7374 | 2020-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053870071 | Deborah M Yancey | Audiologist | 301 Pine Ave., Waynesboro, VA 22980 | 2019-03-19 |
| 1255895215 | Synergy Rehab and Wellness, Plc | Physical Therapist | 100b Community Dr, Waynesboro, VA 22980 | 2019-01-24 |
| 1760959076 | Contractors Usa Inc. | Contractor | 102 Northpoint School Rd, Waynesboro, VA 22980 | 2018-10-25 |
| 1073080412 | Rebecca Mackall | Speech-Language Pathologist | 872 Fairway Drive, Waynesboro, VA 22980 | 2018-10-24 |
| 1891239927 | Heather Lewis | Counselor | 438 Alpha St, Waynesboro, VA 22980 | 2016-12-08 |
| 1194271817 | Ride Rite LLC | Taxi | 465 Calf Mountain Road, Waynesboro, VA 22980 | 2016-09-01 |
| 1225584568 | Richard Harris Sr. | Non-emergency Medical Transport (VAN) | 208 S Bayard Ave, Waynesboro, VA 22980 | 2016-08-28 |
| 1154772671 | Michael T Cunningham, Dds, PC | Dentist | 1151 13th St. Ste 200, Waynesboro, VA 22980 | 2016-06-27 |
| 1770981326 | Americare Plus, LLC. | In Home Supportive Care | 510 H West Broad Street, Waynesboroa, VA 22980 | 2014-12-15 |
| 1780012278 | Glenn Lee Wright | Pharmacist | 2712 West Main St., Waynesboro, VA 22980 | 2013-10-22 |
| Find all providers in zip 22980 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881778330 | Lab Discount Drugs, Inc. | Pharmacy | 923 Wayne St, Waynesboro, MS 39367-2571 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023243599 | Homechoice Partners, Inc. | Pharmacy | 44845 Falcon Pl, Suite 101b, Sterling, VA 20166-9545 | 2009-05-27 |
| 1477761120 | Partners In Care, Inc. | Pharmacy | 214 S Market St, Salem, VA 24153-4914 | 2007-05-18 |
| 1487670758 | Vital Care Southwest Virginia, Inc. | Pharmacy | 305 Old Kentucky Turnpike, Cedar Bluff, VA 24609 | 2006-07-13 |
| 1467400176 | Accredo Health Group Inc | Pharmacy | 4125 Lafayette Ctr Dr, Suite 400, Chantilly, VA 20151-1240 | 2006-05-05 |
| 1093160566 | Infuserv Corporation | Pharmacy | 601 Jefferson Davis Hwy, Suite 201, Fredericksburg, VA 22401-4564 | 2016-05-03 |
| 1548629447 | Infuserv Corporation | Pharmacy | 601 Jefferson Davis Hwy, Suite 201, Fredericksburg, VA 22401-4564 | 2016-02-19 |
| 1285879049 | Piedmont Infusion Services, Inc | Pharmacy | 111 Mall Dr, Danville, VA 24540-4069 | 2008-12-09 |
| City | WAYNESBORO |
| Zip Code | 22980 |
Please comment or provide details below to improve the information on AMERITA SOUTH ATLANTIC LLC.
| 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.