Provider Demographics
NPI:1093775876
Name:RESPIRATORY AT HOME, CORP
Entity Type:Organization
Organization Name:RESPIRATORY AT HOME, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:JARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:931-723-3780
Mailing Address - Street 1:1235 MCARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37355-2423
Mailing Address - Country:US
Mailing Address - Phone:931-723-3780
Mailing Address - Fax:931-728-8843
Practice Address - Street 1:1235 MCARTHUR ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37355-2423
Practice Address - Country:US
Practice Address - Phone:931-723-3780
Practice Address - Fax:931-728-8843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000639332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1452474Medicaid
TN1282340001Medicare NSC