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	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
2	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1538339437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HOMEPATIENT, INC.

Provider Business Mailing Address
First Line	:	1788 SOLUTIONS CTR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-1007
Country	:	US
Telephone Number	:	716-827-3710
Fax Number	:	716-827-1151

Provider Business Practice Location Address
First Line	:	2215 CLEVELAND RD
Second Line	:	SUITE 107
City	:	SANDUSKY
State	:	OH
Zip	:	44870-4485
Country	:	US
Telephone Number	:	419-484-1414
Fax Number	:	419-484-3013

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

Provider Enumeration Date	:	03/06/2008
Last Update Date	:	06/26/2008

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