ADVANCED HOME CARE INC NPI 1215134309

NPI Information

  • NPI: 1215134309
  • Provider Name: ADVANCED HOME CARE INC
  • Classification: Pharmacy - 3336H0001X
  • Specialization: Home Infusion Therapy Pharmacy
  • Entity Type: Organization
  • Address: 105 JACK WHITE DR
    KINGSPORT, TN
    ZIP 37664
  • Phone: (423) 378-7330

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NPI Details

ADVANCED HOME CARE INC is a home infusion therapy pharmacy pharmacy in Kingsport, TN. The provider is 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. ADVANCED HOME CARE INC NPI is 1215134309. The provider is registered as an organization entity type.

The provider's business location address is:

105 JACK WHITE DR
KINGSPORT, TN
ZIP 37664
Phone: (423) 378-7330
Fax: (800) 311-7783

The provider's authorized official is Mike Kalbaugh .
The authorized official title is Credentialing Specialist and has the following contact phone number (336) 878-8824.

The enumeration date for this NPI number is 7/2/2007 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336H0001XPharmacyHome Infusion Therapy Pharmacy000002963TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q032329MEDICAIDTENNESSEE
21215134309MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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