Provider Demographics
NPI:1225418320
Name:AT HOME MEDICAL, INC.
Entity Type:Organization
Organization Name:AT HOME MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:LINGO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:706-566-9118
Mailing Address - Street 1:1010 13TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-2239
Mailing Address - Country:US
Mailing Address - Phone:706-660-9036
Mailing Address - Fax:706-660-9037
Practice Address - Street 1:1010 13TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-2239
Practice Address - Country:US
Practice Address - Phone:706-660-9036
Practice Address - Fax:706-660-9037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA207651344BMedicaid