MEDICARE: APRIA HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
2	332BX2000X	Oxygen Equipment & Supplies (DME)
3	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629183587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APRIA HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	701 TECHNOLOGY DR
Second Line	:	STE 250
City	:	CANONSBURG
State	:	PA
Zip	:	15317-9529
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1389 W US HIGHWAY 90
Second Line	:	SUITE 150
City	:	LAKE CITY
State	:	FL
Zip	:	32055-6129
Country	:	US
Telephone Number	:	386-752-6348
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	PERRY BERNOCCHI
Credential	:
Telephone Number	:	317-865-4200

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	04/19/2024

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Directions to “APRIA HEALTHCARE LLC ” Practice Location

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