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ADVANCED HOME CARE INC
NPI 1215134309
Pharmacy - Home Infusion Therapy Pharmacy in Kingsport, TN

Active since July 02, 2007
105 JACK WHITE DR, KINGSPORT, TN 37664(423) 378-7330(800) 311-7783 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Jun 18, 2018, May 2, 2018 and 3 more (6 updates tracked since 2017).

About Advanced Home Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED HOME CARE INC (NPI 1215134309) is a healthcare organization registered as a home infusion therapy pharmacy in Kingsport, Tennessee and active in the NPI registry since July 2007. The organization lists Mike Kalbaugh, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1215134309
Entity TypeOrganization
Primary Taxonomy3336H0001X
Legal Business NameADVANCED HOME CARE INC
Location Address105 JACK WHITE DRKingsport, TN 37664
Mailing AddressPo Box 18049Greensboro, NC 27419-8049 · (336) 878-8950 · Fax (336) 878-8883
Phone(423) 378-7330
Fax(800) 311-7783
Organization SubpartNo
Authorized OfficialMike KalbaughCredentialing Specialist · (336) 878-8824
Enumeration DateJuly 2, 2007
Last NPPES UpdateMarch 7, 20236 updates tracked since enumeration
✔ NPI 1215134309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Home Infusion Therapy PharmacySuppliers
Taxonomy Code3336H0001X
License✔ Licensed in TN · 000002963
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
105 JACK WHITE DR, Kingsport, TN 37664
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Other Identifiers 2

MedicaidQ032329TN
Medicaid1215134309VA

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Advanced Home Infusion carries, from the Medicare DMEPOS supplier directory.

Advanced Home Infusion

DMEPOS supplier · Kingsport, TNOperated by Amerita South Atlantic LLC
✔

Accepts Medicare assignment

Advanced Home Infusion agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20415185
Medicare Participant SinceMarch 1, 2020
Supplier Location105 Jack White Dr Ste BKingsport, TN 37664
Phone(423) 378-7350
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
External Infusion Pumps and/or Supplies
An infusion pump is necessary to safely administer the drug
Enteral Nutrients
Enteral formula
Enteral Equipment and/or Supplies
Enteral infusion pumps, enteral nutrition supply kits
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERUS HEALTHCARE, LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
105 JACK WHITE DR
KINGSPORT, TN 37664
Sullivan County (423) 378-7330
ADVANCED HOME CARE, INC.
Durable Medical Equipment & Medical Supplies
105 JACK WHITE DR
KINGSPORT, TN 37664
Sullivan County (423) 230-8485

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Home Care Inc's NPI number?

The NPI number for Advanced Home Care Inc is 1215134309. It was assigned to this organization in the NPPES registry on July 2, 2007.

Where is Advanced Home Care Inc located?

Advanced Home Care Inc is located at 105 Jack White Dr, Kingsport, TN 37664. The listed phone number is (423) 378-7330.

What is Advanced Home Care Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.

Does Advanced Home Care Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Advanced Home Infusion accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Advanced Home Care Inc was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.