Provider Demographics
NPI:1649245523
Name:AHP HOME CARE ALLIANCE OF TENNESSEE
Entity Type:Organization
Organization Name:AHP HOME CARE ALLIANCE OF TENNESSEE
Other - Org Name:AMERICAN HOMEPATIENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-530-7700
Mailing Address - Street 1:PO BOX 532697
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30353-2697
Mailing Address - Country:US
Mailing Address - Phone:229-257-0075
Mailing Address - Fax:229-259-0726
Practice Address - Street 1:5211 LINBAR DR
Practice Address - Street 2:SUITE 506
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-1030
Practice Address - Country:US
Practice Address - Phone:615-832-0881
Practice Address - Fax:615-832-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-22
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TN425332BP3500X
TN0000001448332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1452112Medicaid
KY09274010Medicaid
VA009123512Medicaid
TN1452112Medicaid