Healthcare Provider Details
I. General information
NPI: 1932876570
Provider Name (Legal Business Name): APRIA HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/23/2021
Last Update Date: 09/07/2021
Certification Date: 09/07/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1117 OLD COLONY LN STE B
WILLIAMSBURG VA
23185-3801
US
IV. Provider business mailing address
7353 COMPANY DR
INDIANAPOLIS IN
46237-9274
US
V. Phone/Fax
- Phone: 757-826-2600
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
STARCK
Title or Position: CEO
Credential:
Phone: 317-865-4200