AMERITA SOUTH ATLANTIC LLC (NPI# 1588204846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588204846 |
| Entity Type | Organization |
| Organization Name | AMERITA SOUTH ATLANTIC LLC |
| Other Organization Name | ADVANCED HOME INFUSION |
| Practice Address |
2520 Whitehall Park Dr Ste 1000 Charlotte NC 28273 |
| Mailing Address |
6912 S Quentin St Suite 50 Centennial CO 80112-4531 |
| Practice Telephone | 7048314960 |
| Practice Fax Number | 8339861060 |
| Mailing Telephone | 7202825411 |
| Mailing Fax Number | 8773025251 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | JULIE ANGELA LUEDEMAN (CREDENTIALING ANALYST) |
| Authorized Official Telephone | 7202825411 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERITA, INC. |
| 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 | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Advanced Home Infusion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841830197 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 1231 Ne Maynard Rd Ste A, Cary, NC 27513-4175 | 2020-01-14 |
| 1780224030 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 5901 Goshen Springs Rd Ste H, Norcross, GA 30071-3506 | 2020-01-14 |
| 1801436365 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 105 Jack White Dr Ste B, Kingsport, TN 37664-2364 | 2020-01-13 |
| 1962041368 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 4001 Piedmont Pkwy Ste 150, High Point, NC 27265-9402 | 2020-01-02 |
| 1215559703 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2424 India Hook Rd Ste 130, Rock Hill, SC 29732-1278 | 2020-05-07 |
| 1750921011 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 30 Ebco Cir Ste 102, Waynesboro, VA 22980-7374 | 2020-01-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Amerita South Atlantic LLC | 805 N Whittington Pkwy Ste 400, Louisville, Kentucky 40222-5186 |
| North Carolina Corporations | Amerita South Atlantic LLC | 2626 Glenwood Ave Ste 550, Raleigh, NC 27608 |
| Street Address |
2520 WHITEHALL PARK DR STE 1000 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295387637 | Excel Eyecare Od Pa | Optometrist | 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 | 2019-07-16 |
| 1992262018 | Katherine Grace Bias | Speech-Language Pathologist | 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 | 2019-02-25 |
| 1487111977 | Shanise Danielle Lewis | Respite Care | Top Notch Nurse Staffing & Home Health LLC., 2015 Ayrsley Town Blvd. Suite 202, Charlotte, NC 28273 | 2019-02-21 |
| 1700361953 | Timothy John Hartman | Chiropractor | 2550 West Arrowood Road Suite 104, Charlotte, NC 28273 | 2018-10-03 |
| 1144703141 | Shaquanda King | Behavior Technician | 15528 Baltinglass Ct., Charlotte, NC 28273 | 2018-09-14 |
| 1184106502 | Janelle Gillis | Behavioral Analyst | 13354 Calloway Glen Dr, Charlotte, NC 28273 | 2018-09-01 |
| 1730688680 | Style By Shandy Inc | Specialist | 2106 Arysley Town Blvd, A, Charlotte, NC 28273 | 2018-02-06 |
| 1063945582 | Bpolloni Consulting | Clinical Medical Laboratory | 11709 Fruehauf Drive, Suite 105 & 106, Charlotte, NC 28273 | 2017-04-11 |
| 1770038325 | Kerry Barbera | Dietitian, Registered | 12421 Belmont Mansion Dr, Charlotte, NC 28273 | 2016-08-23 |
| 1366831489 | Amy Elliott | Social Worker | 13425 Hoover Creek Boulevard, Ste 101, Charlotte, NC 28273 | 2015-01-13 |
| Find all providers in zip 28273 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784585 | Ihs Acquisition Xxx, Inc | Pharmacy | 5031 W W T Harris Blvd Ste 5031-h, Charlotte, NC 28269-3761 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179141 | Allergy Partners, Pllc | Pharmacy | 10 Herman Avenue Ext Ste C, Asheville, NC 28803-8103 | 2020-06-18 |
| 1730573098 | Realo Specialty Care Pharmacy, Inc | Pharmacy | 3800 Gateway Centre Blvd Ste 308b, Morrisville, NC 27560-6220 | 2015-03-25 |
| 1457697179 | Jabez Home Infusion Company, Inc | Pharmacy | 130 N Front St Ste 300, Wilmington, NC 28401-3972 | 2012-12-28 |
| 1538373824 | Liberty Medical Specialties, Inc | Pharmacy | 612-10 E Jefferson Street, Whiteville, NC 28472 | 2007-05-09 |
| 1114016805 | Curascript Infusion Pharmacy, Inc. | Pharmacy | 6909 International Dr, Ste 108, Greensboro, NC 27409-9035 | 2006-10-12 |
| 1710080296 | Liberty Medical Specialties Inc | Pharmacy | 2224 S 17th St, Wilmington, NC 28401-7515 | 2006-09-07 |
| 1245206697 | Spectrum Infusion, Inc | Pharmacy | 3221 Blue Ridge Rd, Suite 101, Raleigh, NC 27612-8063 | 2006-02-26 |
| 1124008933 | Hudson Discount Drug | Pharmacy | 510 Central St, Hudson, NC 28638-2401 | 2006-01-18 |
| 1982602991 | Medpro Rx Inc | Pharmacy | 140 Northway Ct, Raleigh, NC 27615-4916 | 2005-07-13 |
| 1750627931 | Carolina Iv Solutions, Inc | Pharmacy | 1365 Westgate Center Dr, G-2, Winston Salem, NC 27103-2980 | 2012-12-17 |
| Find all providers with the same taxonomy | ||||
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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.