Provider Demographics
NPI:1386655207
Name:APRIA HEALTHCARE LLC
Entity Type:Organization
Organization Name:APRIA HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STARCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-865-4200
Mailing Address - Street 1:7353 COMPANY DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-9274
Mailing Address - Country:US
Mailing Address - Phone:317-865-4200
Mailing Address - Fax:
Practice Address - Street 1:4513 BROADMOOR AVE SE STE D
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49512-5313
Practice Address - Country:US
Practice Address - Phone:616-698-9119
Practice Address - Fax:616-698-0190
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APRIA HEALTHCARE GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-10
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0326910329Medicare NSC