MEDICARE: AMERICAN 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)	0206009089	VA

General Provider Information

NPI Number	:	1841282597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HOME MEDICAL, LLC

Provider Business Mailing Address
First Line	:	7851 REDPINE RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23237-2221
Country	:	US
Telephone Number	:	804-622-8259
Fax Number	:	804-622-8264

Provider Business Practice Location Address
First Line	:	7851 REDPINE RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23237-2221
Country	:	US
Telephone Number	:	804-622-8259
Fax Number	:	804-622-8264

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SONNY CURRIN IV
Credential	:	RPH
Telephone Number	:	804-622-8259

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	08/22/2020

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