Organization
ADVANCED HOME CARE INC
Active
Other names
Advanced Home Care Inc
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
(336) 878-8824
(336) 878-8883
Mailing address
PO BOX 18049, GREENSBORO, NC 27419-8049
(336) 878-8824
(336) 878-8883
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
0214001277
VA
3336H0001X
Home Infusion Therapy Pharmacy
Primary
05113
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285715185
—
NC
05
—
1285715185
—
VA
05
—
7N5113
—
SC
Enumeration date
10/18/2006
Last updated
03/07/2023
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