Provider Demographics
NPI:1831109859
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:949-639-2000
Mailing Address - Street 1:701 TECHNOLOGY DR
Mailing Address - Street 2:STE 250
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-9529
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:306 E 23RD ST
Practice Address - Street 2:
Practice Address - City:FORT SCOTT
Practice Address - State:KS
Practice Address - Zip Code:66701-3008
Practice Address - Country:US
Practice Address - Phone:620-223-6015
Practice Address - Fax:620-223-0584
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APRIA HEALTHCARE GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-09
Last Update Date:2013-07-10
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
KS0326910094Medicare NSC