Provider Demographics
NPI:1619900479
Name:AMERICAN HOME OXYGEN & HOSPITAL EQUIPMENT, INC
Entity Type:Organization
Organization Name:AMERICAN HOME OXYGEN & HOSPITAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:KALTRIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-837-2436
Mailing Address - Street 1:350 PINE ST
Mailing Address - Street 2:SUITE 330
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-2437
Mailing Address - Country:US
Mailing Address - Phone:409-951-6437
Mailing Address - Fax:409-654-2068
Practice Address - Street 1:3728 PHILLIPS HWY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-9304
Practice Address - Country:US
Practice Address - Phone:904-781-4448
Practice Address - Fax:904-781-6866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022226700Medicaid
0277380004Medicare NSC