Healthcare Provider Details

I. General information

NPI: 1538198718
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: 11/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 MAIN ST
RAINELLE WV
25962-1131
US

IV. Provider business mailing address

PO BOX 827576
PHILADELPHIA PA
19182-7576
US

V. Phone/Fax

Practice location:
  • Phone: 304-438-7911
  • Fax: 304-438-7946
Mailing address:
  • Phone: 304-645-1058
  • Fax: 304-645-0024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. FRANK POWERS
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 615-221-8149