Healthcare Provider Details
I. General information
NPI: 1932187424
Provider Name (Legal Business Name): APRIA HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/04/2006
Last Update Date: 04/22/2024
Certification Date: 04/22/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5345 S MOORLAND RD
NEW BERLIN WI
53151-7925
US
IV. Provider business mailing address
7353 COMPANY DR
INDIANAPOLIS IN
46237-9274
US
V. Phone/Fax
- Phone: 262-207-1551
- Fax: 262-827-0922
- Phone: 317-865-4200
- Fax: 724-873-0718
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:
PERRY
BERNOCCHI
Title or Position: CEO
Credential:
Phone: 317-865-4200