ADVANCED HOME CARE, INC. (NPI# 1619172236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619172236 |
| Entity Type | Organization |
| Organization Name | ADVANCED HOME CARE, INC. |
| Practice Address |
105 Jack White Dr Kingsport TN 37664-2364 |
| Mailing Address |
Po Box 18049 Greensboro NC 27419-8049 |
| Practice Telephone | 4232308485 |
| Practice Fax Number | 8003117783 |
| Mailing Telephone | 3368788950 |
| Mailing Fax Number | 8003117783 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2017-07-24 |
| 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 | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
TN | Suppliers | |
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
TN | Suppliers | |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
0000002963 | TN | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
TN | Suppliers | |
| N | 333600000X | Pharmacy | 0000002963 | TN | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
0000002963 | TN | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM DME | 300795 | 01 |
| TN | BCBSTN IV | 4153574 | 01 |
| TN | BCBSTN DME | 4153575 | 01 |
| VA | ANTHEM IV | 301489 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639415425 | Advanced Home Care, Inc. | Home Infusion | 5901 Goshen Springs Rd, Suite G, Norcross, GA 30071 | 2012-12-24 |
| 1740539790 | Advanced Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 1620 Wright St, Wilmington, NC 28401-8075 | 2012-09-06 |
| 1487964433 | Advanced Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 2110 Westchester Dr, High Point, NC 27262-8025 | 2010-10-08 |
| 1750690608 | Advanced Home Care, Inc. | Home Health | 3273 S Truckee Way, 18-101, Aurora, CO 80013-6120 | 2010-09-27 |
| 1295047249 | Advanced Home Care, Inc. | Home Infusion | 2424 India Hook Rd Ste 130, Rock Hill, SC 29732-1278 | 2010-07-07 |
| 1912235813 | Advanced Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 2067 Celanese Rd, Rock Hill, SC 29732-1324 | 2009-12-03 |
| 1356531966 | Advanced Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 165 Plaza Rd, Ste 20, Wise, VA 24293-4613 | 2007-07-30 |
| 1134256340 | Advanced Home Care, Inc. | Home Health | 850 Stephenson Hwy, Suite 701, Troy, MI 48083-1152 | 2007-02-27 |
| 1154472405 | Advanced Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 567 W Main St, Sylva, NC 28779-5557 | 2007-01-15 |
| 1114009024 | Advanced Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 744 Church St N, Concord, NC 28025-4336 | 2006-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ADVANCED HOME CARE, INC. | 161 Morse St., Norwood, MA 02062 |
| Street Address |
105 JACK WHITE DR |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37664-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044832 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 105 Jack White Dr, Kingsport, TN 37664-2364 | 2020-02-10 |
| 1215134309 | Advanced Home Care Inc | Pharmacy | 105 Jack White Dr, Kingsport, TN 37664 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067395 | Alice Victoria Lilly | Nurse Practitioner | 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-30 |
| 1861966525 | Catherine Ann Hensley | Nurse Practitioner | 2995 Fort Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-16 |
| 1679076954 | Christopher A Hillman | Dentist | 1599 Fort Henry Dr Ste 102, Kingsport, TN 37664 | 2018-03-13 |
| 1154666733 | Cristin Patterson | Counselor | 2762 East Center St., Kingsport, TN 37664 | 2012-12-07 |
| 1972851095 | Kevin Michael Smith | Pharmacist | 1425 East Center Street, Kingsport, TN 37664 | 2012-08-21 |
| 1619299617 | Kelli Lynn Dillon | Counselor | 1570 Waverly Rorad, Kingsport, TN 37664 | 2010-02-18 |
| 1356503726 | Charles Craig Stieler | Hearing Instrument Specialist | 2101 Ft Henry Dr, Kingsport, TN 37664 | 2008-06-27 |
| 1104012319 | Pro Balance LLC | Prosthetic/Orthotic Supplier | 2408 Fort Henry Drive, Kingsport, TN 37664 | 2007-09-20 |
| 1518188648 | Remington House | Assisted Living Facility | 640 Rock Springs Road, Kingsport, TN 37664 | 2007-05-02 |
| 1689795007 | Elaine Frazier | Emergency Medicine | 410 Golf Ridge Dr, Kingsport, TN 37664 | 2007-04-03 |
| Find all providers in zip 37664 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436365 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 105 Jack White Dr Ste B, Kingsport, TN 37664-2364 | 2020-01-13 |
| 1245542737 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 130 W Ravine Rd Ste 101, Kingsport, TN 37660-3837 | 2010-07-13 |
| 1376876904 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2790 E Stone Dr, Kingsport, TN 37660-5849 | 2009-09-15 |
| 1073707154 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2626 E Stone Dr Ste 90, Kingsport, TN 37660-5883 | 2007-08-31 |
| 1649344797 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 2633 E Stone Dr Ste C & D, Kingsport, TN 37660-5921 | 2006-11-20 |
| 1316022296 | Mediserve Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 3200 Ft Henry Dr, Kingsport, TN 37664 | 2006-10-26 |
| 1992880876 | Mediserve Medical Equipment of Kingsport, Inc | Durable Medical Equipment & Medical Supplies | 444 Clinchfield St Ste 2201, Kingsport, TN 37660-3858 | 2006-10-26 |
| 1760580609 | Mac's Medicine Mart, Inc | Durable Medical Equipment & Medical Supplies | 1455 E Center St, Kingsport, TN 37664-2501 | 2006-09-21 |
| 1710080445 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5215 Memorial Blvd, Suite 20, Kingsport, TN 37664 | 2006-09-07 |
| 1114932134 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1420 W Stone Dr, Kingsport, TN 37660-2522 | 2006-07-29 |
| Find all providers in KINGSPORT | ||||
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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.