Provider Demographics
NPI:1093793515
Name:APRIA HEALTHCARE LLC
Entity Type:Organization
Organization Name:APRIA HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNOCCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-865-4200
Mailing Address - Street 1:7353 COMPANY DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-9274
Mailing Address - Country:US
Mailing Address - Phone:317-865-4200
Mailing Address - Fax:
Practice Address - Street 1:1605 EASTPORT PLAZA DR
Practice Address - Street 2:STE 121
Practice Address - City:COLLINSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62234-6115
Practice Address - Country:US
Practice Address - Phone:618-343-3700
Practice Address - Fax:618-345-4042
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APRIA HEALTHCARE GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-04
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========012Medicaid
IL=========012Medicaid