Provider Demographics
NPI:1659349868
Name:AMERICAN HOMEPATIENT, INC.
Entity Type:Organization
Organization Name:AMERICAN HOMEPATIENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
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 676655
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-6655
Mailing Address - Country:US
Mailing Address - Phone:505-243-3993
Mailing Address - Fax:505-243-3999
Practice Address - Street 1:2405 E EMPIRE ST
Practice Address - Street 2:SUITE 3
Practice Address - City:CORTEZ
Practice Address - State:CO
Practice Address - Zip Code:81321-2642
Practice Address - Country:US
Practice Address - Phone:970-565-3204
Practice Address - Fax:970-565-0136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
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
1025898OtherUNITED HEALTHCARE
040039899OtherUS DEPT OF LABOR
52838OtherNORTHWOOD NPN
COAM83163OtherBCBS OF CO
NMNM00T454OtherBC BS OF NM
406949OtherBLACK LUNG PROGRAM
CO08831638Medicaid
NMT1294Medicaid
CO0210310035Medicare NSC