Healthcare Provider Details

I. General information

NPI: 1871594416
Provider Name (Legal Business Name): AMERICAN HOMEPATIENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2005
Last Update Date: 05/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12120 COLONEL GLENN RD STE. 4000
LITTLE ROCK AR
72210-2836
US

IV. Provider business mailing address

PO BOX 676499
DALLAS TX
75267-6499
US

V. Phone/Fax

Practice location:
  • Phone: 501-907-1001
  • Fax: 501-907-1003
Mailing address:
  • Phone: 501-537-2323
  • Fax: 501-671-6801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number17522
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number17522
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number17522
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANK POWERS
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 615-221-8149