Healthcare Provider Details

I. General information

NPI: 1700855616
Provider Name (Legal Business Name): AMERICAN HOMEPATIENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 04/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3107 N MAIN ST SUITE B
ROSWELL NM
88201-6677
US

IV. Provider business mailing address

PO BOX 676458
DALLAS TX
75267-6458
US

V. Phone/Fax

Practice location:
  • Phone: 505-622-5612
  • Fax: 505-624-1897
Mailing address:
  • Phone: 505-243-3993
  • Fax: 505-243-3999

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 TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. GREG MCCARTHY
Title or Position: COO
Credential:
Phone: 727-530-7700