Organization
ADVANCED HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE KALBAUGH (CREDENTIALING SPECIALIST)
(336) 878-8824
Entity
Organization
Contact information
Practice address
2520 WHITEHALL PARK DR, SUITE 950, CHARLOTTE, NC 28273-3557
(704) 831-5000
(877) 242-3291
Mailing address
PO BOX 18049, GREENSBORO, NC 27419-8049
(336) 878-8950
(336) 878-8896
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
07151
NC
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00355
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
00355
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
00355
NC
333600000X
Pharmacy
07151
NC
3336H0001X
Home Infusion Therapy Pharmacy
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0486P
BCBSNC DME
NC
01
—
0494A
BCBSNC IV
NC
05
—
0609016
—
NC
01
—
1013981
UHC ACM
NC
01
—
3429669
NCPDP
NC
05
—
6800431
—
NC
05
—
7702486
—
NC
05
—
7N5113
—
SC
01
—
8295
PARTNERS
NC
05
—
DE7291
—
SC
Enumeration date
01/19/2006
Last updated
11/21/2017
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