Provider Demographics
NPI:1235305160
Name:ADVANCED HOME MEDICAL LLC
Entity Type:Organization
Organization Name:ADVANCED HOME MEDICAL LLC
Other - Org Name:TOTAL RESPIRATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VP
Authorized Official - Prefix:
Authorized Official - First Name:DEBI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAULS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-281-4421
Mailing Address - Street 1:6185 HUNTLEY RD STE A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1098
Mailing Address - Country:US
Mailing Address - Phone:614-433-9011
Mailing Address - Fax:614-433-9013
Practice Address - Street 1:3111 TOSCANA CIR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-4479
Practice Address - Country:US
Practice Address - Phone:614-433-9011
Practice Address - Fax:614-433-9013
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED HOME MEDICAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-30
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies