Healthcare Provider Details

I. General information

NPI: 1629042569
Provider Name (Legal Business Name): AMERICAN HOMEPATIENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 04/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3448 PROGRESS DR SUITE B
BENSALEM PA
19020-5813
US

IV. Provider business mailing address

PO BOX 820818
PHILADELPHIA PA
19182-0818
US

V. Phone/Fax

Practice location:
  • Phone: 215-396-9009
  • Fax: 215-396-7806
Mailing address:
  • Phone: 814-342-6000
  • Fax: 814-342-8356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number100002338
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number8000000497
License Number StatePA

VIII. Authorized Official

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