Healthcare Provider Details
I. General information
NPI: 1982900288
Provider Name (Legal Business Name): AMERICAN HOMEPATIENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/03/2011
Last Update Date: 02/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
233 E. ERIE ST. SUITE 404B
CHICAGO IL
60611-5936
US
IV. Provider business mailing address
1565 SOLUTIONS CTR
CHICAGO IL
60677-1005
US
V. Phone/Fax
- Phone: 312-867-3765
- Fax: 866-872-3839
- Phone: 319-234-1705
- Fax: 319-234-3748
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
FRANK
POWERS
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 615-221-8884