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

General Provider Information

NPI Number	:	1780694422
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	:	2600 CENTRAL AVE
Second Line	:	SUITE F
City	:	DODGE CITY
State	:	KS
Zip	:	67801-6220
Country	:	US
Telephone Number	:	620-225-9008
Fax Number	:	620-227-2483

Authorized Official
Title or Position	:	CEO
Name	:	DANIEL STARCK
Credential	:
Telephone Number	:	949-639-2000

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	02/09/2015

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Directions to “APRIA HEALTHCARE LLC ” Practice Location

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