Healthcare Provider Details

I. General information

NPI: 1659300820
Provider Name (Legal Business Name): AMERICAN HOMEPATIENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 07/26/2021
Certification Date: 07/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7240 TELEGRAPH SQUARE DR. SUITES M & N
LORTON VA
22079
US

IV. Provider business mailing address

PO BOX 532572
ATLANTA GA
30353-2572
US

V. Phone/Fax

Practice location:
  • Phone: 703-644-1016
  • Fax: 703-644-1067
Mailing address:
  • Phone: 304-645-1058
  • Fax: 304-645-0024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number0206009329
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0206009329
License Number StateVA

VIII. Authorized Official

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