Provider Demographics
NPI:1114082674
Name:AMERICAN HOME OXYGEN SERVICES, INC
Entity Type:Organization
Organization Name:AMERICAN HOME OXYGEN SERVICES, INC
Other - Org Name:AMERICAN HOME MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LANA
Authorized Official - Middle Name:STARR
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-281-0202
Mailing Address - Street 1:2916 TAZEWELL PIKE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-1873
Mailing Address - Country:US
Mailing Address - Phone:865-281-0202
Mailing Address - Fax:865-688-4870
Practice Address - Street 1:2916 TAZEWELL PIKE
Practice Address - Street 2:SUITE 201
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-1873
Practice Address - Country:US
Practice Address - Phone:865-281-0202
Practice Address - Fax:865-688-4870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000707332B00000X
TN332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0000001841OtherPHARMACY NUMBER
TN1452158Medicaid
TN0000000707OtherSTATE HEALTH CARE FACILIT
TN0000000707OtherSTATE HEALTH CARE FACILIT