MEDICARE: AMERICAN HOMECARE EQUIPMENT, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	452	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	R8816	OTHER	FL	BCBS PROVIDER#
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770585986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HOMECARE EQUIPMENT, INC

Provider Business Mailing Address
First Line	:	3200 N 29TH AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-1313
Country	:	US
Telephone Number	:	954-772-5052
Fax Number	:	954-772-5288

Provider Business Practice Location Address
First Line	:	3200 N 29TH AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-1313
Country	:	US
Telephone Number	:	954-772-5052
Fax Number	:	954-772-5288

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	MR. JAY GUTIERREZ
Credential	:
Telephone Number	:	954-772-5052

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	05/09/2024

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