NPI 1639415425 · live from the CMS NPI Registry
Advanced Home Care, INC.
Durable Medical Equipment & Medical Supplies in Norcross, GA. National Provider Identifier 1639415425, active.
NPI record
| NPI | 1639415425 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Durable Medical Equipment & Medical Supplies 332B00000X |
| Practice location | 5901 Goshen Springs Rd, Suite G, Norcross, GA 30071 |
| Practice phone | 770-449-6898 |
| Mailing address | Po Box 18049, Greensboro, NC 27419 |
| Enumerated | December 24, 2012 |
| Last updated | August 9, 2018 |
| Authorized official | Mike Kalbaugh, Credentialing Specialist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Infusion | 251F00000X | PHRE010124 (GA) |
| Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | 332BP3500X | PHRE010124 (GA) |
| Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 332BX2000X | PHWH003765 (GA) |
| Pharmacy | 333600000X | PHRE010124 (GA) |
| Pharmacy, Home Infusion Therapy Pharmacy | 3336H0001X | PHRE010124 (GA) |
| Durable Medical Equipment & Medical Supplies primary | 332B00000X | PHRE010124 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.