ADVANCED HOME CARE INC (NPI# 1790752251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790752251 |
| Entity Type | Organization |
| Organization Name | ADVANCED HOME CARE INC |
| Practice Address |
72 Saint Johns Place Rd Salem VA 24153-5568 |
| Mailing Address |
Po Box 18049 Greensboro NC 27419-8049 |
| Practice Telephone | 5403898121 |
| Practice Fax Number | 5403898128 |
| Mailing Telephone | 3368788950 |
| Mailing Fax Number | 3368788853 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2017-10-09 |
| 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 | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
0206008324 | VA | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
0201003184 | VA | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
0206008324 | VA | Suppliers |
| N | 333600000X | Pharmacy | 0201003184 | VA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0206008324 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | UHC ACM | 1013981 | 01 |
| VA | 010115566 | 05 | |
| VA | ANTHEM DME | 432916 | 01 |
| VA | 010115591 | 05 | |
| VA | ANTHEM IV | 168466 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548616725 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 480 S Commerce Ave, Suites D and E, Front Royal, VA 22630-3092 | 2016-05-06 |
| 1760872923 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 800 Whitlock Ave Nw, Ste 126, Marietta, GA 30064-4664 | 2015-01-27 |
| 1043649635 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 30 Ebco Cir Ste 102, Waynesboro, VA 22980 | 2013-11-05 |
| 1750399762 | Advanced Home Care Inc | Pharmacy | 302 Bay St, Gadsden, AL 35901 | 2006-08-04 |
| 1194218586 | Advanced Home Care Inc | Pharmacy | 4001 Piedmont Pkwy, High Point, NC 27265-9402 | 2018-06-11 |
| 1457707713 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 525 Amherst St, Ste 100, Winchester, VA 22601-3881 | 2016-05-05 |
| 1851721047 | Advanced Home Care Inc | Pharmacy | 5901 Goshen Springs Rd, Ste G, Norcross, GA 30071 | 2013-11-25 |
| 1144658246 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 2391 Court Dr, Ste 105, Gastonia, NC 28054-2196 | 2013-10-29 |
| 1922318286 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Rd, Building B, Suite 410, Winston Salem, NC 27103-3217 | 2010-10-20 |
| 1730499781 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 1018 N Elm St, Greensboro, NC 27401-6300 | 2010-10-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Advanced Home Care Inc. | 4001 Piedmont Pky, High Point, North Carolina 27265 |
| System for Award Management (SAM) Entities | ADVANCED HOME CARE INC. | 4001 Piedmont Pkwy, High Point, NC 27265-9402 |
| North Carolina Corporations | Advanced Home Care Inc. | 4001 Piedmont Parkway, High Point, NC 27265 |
| Street Address |
72 SAINT JOHNS PLACE RD |
| City | SALEM |
| State | VA |
| Zip Code | 24153-5568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033741814 | Roberts Home Medical LLC | Durable Medical Equipment & Medical Supplies | 72 Saint Johns Place Rd, Salem, VA 24153-5568 | 2020-02-10 |
| 1336220235 | Advanced Home Care, Inc | Home Infusion | 72 Saint Johns Place Rd, Salem, VA 24153 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| 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 |
|---|---|---|---|---|
| 1942815014 | Matthew Rumsey | Durable Medical Equipment & Medical Supplies | 869 E 960 S, Salem, UT 84653-5758 | 2020-09-15 |
| 1790268464 | Spinal Med, Inc. | Durable Medical Equipment & Medical Supplies | 4676 Commercial St Se Ste 381, Salem, OR 97302-1902 | 2018-09-10 |
| 1649791708 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 601 S Main St Ste 106, Salem, IN 47167-1057 | 2017-06-29 |
| 1205380474 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1309 E Hackberry St, Salem, IN 47167-9604 | 2016-08-05 |
| 1417400052 | Cascade Sleep Supply, LLC. | Durable Medical Equipment & Medical Supplies | 1500 Liberty St Se Ste 170, Salem, OR 97302-4386 | 2016-08-01 |
| 1194150599 | Cvs Manchester Nh LLC | Durable Medical Equipment & Medical Supplies | 5 Hampstead Rd, Salem, NH 03079-2404 | 2013-09-05 |
| 1619228202 | Salem Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 20 Hartford Rd Ste 16, Salem, CT 06420-3800 | 2012-09-24 |
| 1992066724 | Trustcare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 117 Goodwin Ave, Salem, VA 24153-3227 | 2012-06-07 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| 1104127240 | Lindberg-turner Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 315 Mission St Se Ste 100, Salem, OR 97302-6231 | 2010-11-05 |
| Find all providers in SALEM | ||||
Please comment or provide details below to improve the information on ADVANCED HOME CARE INC.
| 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.