MEDICARE: AMERICAN HOMEPATIENT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1194797464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HOMEPATIENT, INC.

Provider Business Mailing Address
First Line	:	PO BOX 532547
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30353-2547
Country	:	US
Telephone Number	:	850-681-2888
Fax Number	:	850-681-2977

Provider Business Practice Location Address
First Line	:	1307 N MONROE ST
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-5526
Country	:	US
Telephone Number	:	850-681-0080
Fax Number	:	850-681-1022

Authorized Official
Title or Position	:	SR. VICE PRESIDENT
Name	:	MR. JOHN D. GOUY
Credential	:
Telephone Number	:	615-221-8191

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	08/22/2020

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