Healthcare Provider Details

I. General information

NPI: 1134107675
Provider Name (Legal Business Name): APRIA HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 04/19/2024
Certification Date: 04/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10090 WILLOW CREEK RD
SAN DIEGO CA
92131-1623
US

IV. Provider business mailing address

7353 COMPANY DR
INDIANAPOLIS IN
46237-9274
US

V. Phone/Fax

Practice location:
  • Phone: 858-653-6901
  • Fax: 858-653-6950
Mailing address:
  • Phone: 317-865-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PERRY BERNOCCHI
Title or Position: CEO
Credential:
Phone: 317-865-4200