AMERITA SOUTH ATLANTIC LLC (NPI# 1841830197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841830197 |
| Entity Type | Organization |
| Organization Name | AMERITA SOUTH ATLANTIC LLC |
| Other Organization Name | ADVANCED HOME INFUSION |
| Practice Address |
1231 Ne Maynard Rd Ste A Cary NC 27513-4175 |
| Mailing Address |
6912 S Quentin St Ste 50 Centennial CO 80112-4531 |
| Practice Telephone | 9196530810 |
| Practice Fax Number | 8339940844 |
| 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 |
|---|---|---|---|---|
| 1780224030 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 5901 Goshen Springs Rd Ste H, Norcross, GA 30071-3506 | 2020-01-14 |
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 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 |
1231 NE MAYNARD RD STE A |
| City | CARY |
| State | NC |
| Zip Code | 27513-4175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1790249605 | Carolyn Ann Berlin | Nurse Practitioner | 3600 Northwest Cary Pkwy. Suite 104, Cary, NC 27513 | 2019-01-24 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
| 1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
| 1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
| 1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
| 1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
| Find all providers in zip 27513 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1790784585 | Ihs Acquisition Xxx, Inc | Pharmacy | 5031 W W T Harris Blvd Ste 5031-h, Charlotte, NC 28269-3761 | 2005-07-14 |
| 1982602991 | Medpro Rx Inc | Pharmacy | 140 Northway Ct, Raleigh, NC 27615-4916 | 2005-07-13 |
| 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.