Healthcare Provider Details

I. General information

NPI: 1891704300
Provider Name (Legal Business Name): APRIA HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 BLUEGILL LN SUITE A
CHUBBUCK ID
83202-1898
US

IV. Provider business mailing address

701 TECHNOLOGY DR STE 250
CANONSBURG PA
15317-9529
US

V. Phone/Fax

Practice location:
  • Phone: 208-237-7940
  • Fax: 208-237-7924
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DANIEL STARCK
Title or Position: CEO
Credential:
Phone: 949-639-2000