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
4001 PIEDMONT PKWY, HIGH POINT, NC 27265-9402
(336) 878-8950
(800) 311-7783
Mailing address
PO BOX 18049, GREENSBORO, NC 27419-8049
(336) 878-8950
(800) 311-7783
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
HC0297
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
HC0820
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6800401
—
NC
Enumeration date
12/29/2006
Last updated
11/21/2017
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