Provider Demographics
NPI:1801039110
Name:AMERICAN HOME MEDICAL & MOBILITY LLC
Entity Type:Organization
Organization Name:AMERICAN HOME MEDICAL & MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:SWANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-428-9000
Mailing Address - Street 1:850 COMMERCE PKWY
Mailing Address - Street 2:
Mailing Address - City:CARPENTERSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60110-1721
Mailing Address - Country:US
Mailing Address - Phone:847-428-9000
Mailing Address - Fax:
Practice Address - Street 1:850 COMMERCE PKWY
Practice Address - Street 2:
Practice Address - City:CARPENTERSVILLE
Practice Address - State:IL
Practice Address - Zip Code:60110-1721
Practice Address - Country:US
Practice Address - Phone:847-428-9000
Practice Address - Fax:847-428-4308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-16
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies