Healthcare Provider Details
I. General information
NPI: 1861718363
Provider Name (Legal Business Name): APRIA HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/09/2010
Last Update Date: 04/19/2024
Certification Date: 04/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3380 N SAN FERNANDO RD UNIT 801
LOS ANGELES CA
90065-1417
US
IV. Provider business mailing address
7353 COMPANY DR
INDIANAPOLIS IN
46237-9274
US
V. Phone/Fax
- Phone: 213-459-0655
- Fax: 323-551-6773
- Phone: 317-865-4200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PERRY
BERNOCCHI
Title or Position: CEO
Credential:
Phone: 317-865-4200