Healthcare Provider Details

I. General information

NPI: 1902977648
Provider Name (Legal Business Name): APRIA HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 09/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5705 GENERAL WASHINGTON DR # G
ALEXANDRIA VA
22312-2408
US

IV. Provider business mailing address

250 TECHNOLOGY DR
CANONSBURG PA
15317-9564
US

V. Phone/Fax

Practice location:
  • Phone: 703-642-6688
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LAWRENCE MASTROVICH
Title or Position: PRESIDENT AND COO
Credential:
Phone: 949-639-2000