ADVANCED HOME CARE INC (NPI# 1043649635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043649635 |
| Entity Type | Organization |
| Organization Name | ADVANCED HOME CARE INC |
| Other Organization Name | ADVANCED HOME CARE INC |
| Practice Address |
30 Ebco Cir Ste 102 Waynesboro VA 22980 |
| Mailing Address |
Po Box 18049 Greensboro NC 27419-8049 |
| Practice Telephone | 5409323000 |
| Practice Fax Number | 8002777455 |
| Mailing Telephone | 3368788824 |
| Mailing Fax Number | 3368788883 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | MIKE KALBAUGH (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 3368788824 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
0201002399 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FA7356036 | 01 | |
| WV | DRUG MANUFACTURER CONTROLLED SUBSTANCE PERMIT | MR0551988 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Home Care INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548616725 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 480 S Commerce Ave, Suites D and E, Front Royal, VA 22630-3092 | 2016-05-06 |
| 1760872923 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 800 Whitlock Ave Nw, Ste 126, Marietta, GA 30064-4664 | 2015-01-27 |
| 1750399762 | Advanced Home Care Inc | Pharmacy | 302 Bay St, Gadsden, AL 35901 | 2006-08-04 |
| 1790752251 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 72 Saint Johns Place Rd, Salem, VA 24153-5568 | 2006-03-03 |
| 1194218586 | Advanced Home Care Inc | Pharmacy | 4001 Piedmont Pkwy, High Point, NC 27265-9402 | 2018-06-11 |
| 1457707713 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 525 Amherst St, Ste 100, Winchester, VA 22601-3881 | 2016-05-05 |
| 1851721047 | Advanced Home Care Inc | Pharmacy | 5901 Goshen Springs Rd, Ste G, Norcross, GA 30071 | 2013-11-25 |
| 1144658246 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 2391 Court Dr, Ste 105, Gastonia, NC 28054-2196 | 2013-10-29 |
| 1922318286 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Rd, Building B, Suite 410, Winston Salem, NC 27103-3217 | 2010-10-20 |
| 1730499781 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 1018 N Elm St, Greensboro, NC 27401-6300 | 2010-10-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Advanced Home Care Inc. | 4001 Piedmont Pky, High Point, North Carolina 27265 |
| System for Award Management (SAM) Entities | ADVANCED HOME CARE INC. | 4001 Piedmont Pkwy, High Point, NC 27265-9402 |
| North Carolina Corporations | Advanced Home Care Inc. | 4001 Piedmont Parkway, High Point, NC 27265 |
| Street Address |
30 EBCO CIR STE 102 |
| City | WAYNESBORO |
| State | VA |
| Zip Code | 22980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411535 | Wesley Gibbs Hric | Pharmacist | 30 Ebco Cir Ste 102, Waynesboro, VA 22980-7374 | 2020-03-12 |
| 1750921011 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 30 Ebco Cir Ste 102, Waynesboro, VA 22980-7374 | 2020-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053870071 | Deborah M Yancey | Audiologist | 301 Pine Ave., Waynesboro, VA 22980 | 2019-03-19 |
| 1255895215 | Synergy Rehab and Wellness, Plc | Physical Therapist | 100b Community Dr, Waynesboro, VA 22980 | 2019-01-24 |
| 1760959076 | Contractors Usa Inc. | Contractor | 102 Northpoint School Rd, Waynesboro, VA 22980 | 2018-10-25 |
| 1073080412 | Rebecca Mackall | Speech-Language Pathologist | 872 Fairway Drive, Waynesboro, VA 22980 | 2018-10-24 |
| 1891239927 | Heather Lewis | Counselor | 438 Alpha St, Waynesboro, VA 22980 | 2016-12-08 |
| 1194271817 | Ride Rite LLC | Taxi | 465 Calf Mountain Road, Waynesboro, VA 22980 | 2016-09-01 |
| 1225584568 | Richard Harris Sr. | Non-emergency Medical Transport (VAN) | 208 S Bayard Ave, Waynesboro, VA 22980 | 2016-08-28 |
| 1154772671 | Michael T Cunningham, Dds, PC | Dentist | 1151 13th St. Ste 200, Waynesboro, VA 22980 | 2016-06-27 |
| 1770981326 | Americare Plus, LLC. | In Home Supportive Care | 510 H West Broad Street, Waynesboroa, VA 22980 | 2014-12-15 |
| 1780012278 | Glenn Lee Wright | Pharmacist | 2712 West Main St., Waynesboro, VA 22980 | 2013-10-22 |
| Find all providers in zip 22980 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
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| 1861901340 | Personalmed Virginia Pharmacy Services | Pharmacy | 12007 Sunrise Valley Dr Ste 110, Reston, VA 20191-3460 | 2017-09-27 |
| 1053841015 | Specialty Care Rx LLC | Pharmacy | 111 Fashion Rd Ste Abc, Pounding Mill, VA 24637-1200 | 2017-06-13 |
| 1104362227 | Prosperity Rx Arlington | Pharmacy | 5101 Lee Hwy, Arlington, VA 22207-1603 | 2017-01-12 |
| 1225574536 | Hnr Family Pharmacy | Pharmacy | 3449 Fall Hill Ave, Fredericksburg, VA 22401-4929 | 2017-01-10 |
| 1144772476 | Mechanicsville Chemist LLC | Pharmacy | 8324 Bell Creek Rd Ste 800, Mechanicsville, VA 23116-3849 | 2016-11-03 |
| 1700159696 | Elkton Healthcare Services Inc | Pharmacy | 111 S Stuart Ave, Elkton, VA 22827-1525 | 2012-02-22 |
| 1497042956 | Nova Pharmacy LLC | Pharmacy | 6023 Wilson Blvd, Arlington, VA 22205-1503 | 2011-07-06 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESBORO |
| Zip Code | 22980 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.