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
1806 N SANDHILLS BLVD, ABERDEEN, NC 28315-2336
(910) 295-4119
(800) 311-7783
Mailing address
PO BOX 18049, GREENSBORO, NC 27419-8049
(336) 878-8950
(336) 878-8853
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00785
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
HC0454
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
00785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0486P
BCBSNC DME
NC
01
—
0494A
BCBSNC IV
NC
05
—
7703805
—
NC
01
—
8295
PARTNERS
NC
Enumeration date
02/15/2006
Last updated
06/06/2017
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