1699745448 NPI number — AMERICAN HOMEPATIENT, INC.

Table of content: (NPI 1699745448)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699745448 NPI number — AMERICAN HOMEPATIENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN HOMEPATIENT, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699745448
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/17/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 746032
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30374-6032
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-259-2255
Provider Business Mailing Address Fax Number:
855-475-5635

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
701 INTERCHANGE BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19711-3594
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-454-4941
Provider Business Practice Location Address Fax Number:
302-454-1969
Provider Enumeration Date:
01/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCCARTHY
Authorized Official First Name:
GREG
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
727-530-7700

Provider Taxonomy Codes

  • Taxonomy code: 103TH0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332BP3500X , with the licence number: A40000670 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , with the licence number: 8000001390 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5093503 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00001185616 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1132096 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 233858100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 521360509 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".




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