Provider Demographics
NPI:1124399746
Name:CATHOLIC HEALTH HOME RESPIRATORY LLC
Entity Type:Organization
Organization Name:CATHOLIC HEALTH HOME RESPIRATORY LLC
Other - Org Name:AMERICAN HOMEPATIENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-530-7700
Mailing Address - Street 1:3556 LAKE SHORE RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14219-1445
Mailing Address - Country:US
Mailing Address - Phone:716-827-3710
Mailing Address - Fax:716-827-1151
Practice Address - Street 1:435 LAWRENCE BELL DR
Practice Address - Street 2:SUITE 12
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7806
Practice Address - Country:US
Practice Address - Phone:716-681-2242
Practice Address - Fax:716-681-3167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-13
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6682060001Medicare NSC