Healthcare Provider Details

I. General information

NPI: 1962402248
Provider Name (Legal Business Name): AMERICAN HOMEPATIENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 11/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1432 E WASHINGTON AVE
JONESBORO AR
72401-3259
US

IV. Provider business mailing address

PO BOX 676499
DALLAS TX
75267-6499
US

V. Phone/Fax

Practice location:
  • Phone: 870-972-1580
  • Fax: 870-972-1582
Mailing address:
  • Phone: 501-537-2323
  • Fax: 501-671-6801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberG00195
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberG00195
License Number StateAR

VIII. Authorized Official

Name: MR. GREG MCCARTHY
Title or Position: COO
Credential:
Phone: 727-530-7700