MEDICARE: ADVANCED HOME MEDICAL, LLC

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	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1568249209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HOME MEDICAL, LLC

Provider Business Mailing Address
First Line	:	8937 SOUTHPOINTE DR STE A1
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-1087
Country	:	US
Telephone Number	:	463-282-6901
Fax Number	:	463-282-6902

Provider Business Practice Location Address
First Line	:	8937 SOUTHPOINTE DR STE A1
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-1087
Country	:	US
Telephone Number	:	463-282-6901
Fax Number	:	463-282-6902

Authorized Official
Title or Position	:	COMPLIANCE OFFICER
Name	:	SHEILA ROBERSON
Credential	:
Telephone Number	:	602-818-5258

Provider Enumeration Date	:	09/14/2023
Last Update Date	:	08/12/2025

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Directions to “ADVANCED HOME MEDICAL, LLC ” Practice Location

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