Provider Demographics
NPI:1699967091
Name:ADVANTAGE HOME MEDICAL COMPANY
Entity type:Organization
Organization Name:ADVANTAGE HOME MEDICAL COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-627-9669
Mailing Address - Street 1:3093 SOUTH HIGHWAY 14
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-4830
Mailing Address - Country:US
Mailing Address - Phone:864-297-6749
Mailing Address - Fax:864-297-6791
Practice Address - Street 1:3093 S HIGHWAY 14
Practice Address - Street 2:SUITE A
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-4829
Practice Address - Country:US
Practice Address - Phone:864-297-6749
Practice Address - Fax:864-297-6791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC65008374332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies