Provider Demographics
NPI:1326155730
Name:AMERICAN RESPIRATORY HOMECARE INC
Entity Type:Organization
Organization Name:AMERICAN RESPIRATORY HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SABAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:JAFARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-256-0790
Mailing Address - Street 1:PO BOX 486
Mailing Address - Street 2:
Mailing Address - City:SKELTON
Mailing Address - State:WV
Mailing Address - Zip Code:25919
Mailing Address - Country:US
Mailing Address - Phone:304-256-0790
Mailing Address - Fax:304-256-0786
Practice Address - Street 1:451A STANAFORD RD
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801
Practice Address - Country:US
Practice Address - Phone:304-256-0790
Practice Address - Fax:304-256-0786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV6201030000Medicaid
WV6201030000Medicaid