Provider Demographics
NPI:1174658199
Name:AMERIMED HOME EQUIPMENT, LLC
Entity Type:Organization
Organization Name:AMERIMED HOME EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-600-1765
Mailing Address - Street 1:15632 STATE HIGHWAY 110 S STE 4
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:TX
Mailing Address - Zip Code:75791-5510
Mailing Address - Country:US
Mailing Address - Phone:214-600-1765
Mailing Address - Fax:866-440-8480
Practice Address - Street 1:15632 STATE HIGHWAY 110 S STE 4
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:TX
Practice Address - Zip Code:75791-5510
Practice Address - Country:US
Practice Address - Phone:214-600-1765
Practice Address - Fax:866-440-8480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX189338001Medicaid
TX189338001Medicaid