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
48 W MAIN ST, CHRISTIANSBURG, VA 24073-2942
(540) 633-2223
(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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0206009038
VA
332BC3200X
Customized Equipment (DME)
0206009038
VA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0206009038
VA
332BX2000X
Oxygen Equipment & Supplies (DME)
0206009038
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010122473
—
VA
01
—
1013981
UHC ACM
VA
01
—
179968
ANTHEM IV
VA
01
—
181308
ANTHEM DME
VA
01
—
7557395
AETNA IV
VA
Enumeration date
10/02/2006
Last updated
11/21/2017
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