Healthcare Provider Details

I. General information

NPI: 1063419034
Provider Name (Legal Business Name): AMERICAN HOMEPATIENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 MARENGO ST SUITE A
FLORENCE AL
35630-6012
US

IV. Provider business mailing address

PO BOX 532906
ATLANTA GA
30353-2906
US

V. Phone/Fax

Practice location:
  • Phone: 256-760-1099
  • Fax: 256-760-1599
Mailing address:
  • Phone: 501-537-2323
  • Fax: 501-671-6801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number274
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number900221
License Number StateAL

VIII. Authorized Official

Name: MR. JOHN D. GOUY
Title or Position: SR. VICE PRESIDENT ASSIST. SEC.
Credential:
Phone: 615-221-8191