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	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	6357	CT
3	332BX2000X	Oxygen Equipment & Supplies (DME)	1113	CT

General Provider Information

NPI Number	:	1427028273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HOMEPATIENT, INC.

Provider Business Mailing Address
First Line	:	PO BOX 827451
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-7451
Country	:	US
Telephone Number	:	716-827-3710
Fax Number	:	716-827-1151

Provider Business Practice Location Address
First Line	:	1101 FARMINGTON AVE
Second Line	:	SUITE 4
City	:	BERLIN
State	:	CT
Zip	:	06037-2241
Country	:	US
Telephone Number	:	860-223-8325
Fax Number	:	860-229-1729

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MR. FRANK POWERS
Credential	:
Telephone Number	:	615-221-8149

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	08/09/2011

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