Provider Demographics
NPI:1912039678
Name:APRIA HEALTHCARE
Entity Type:Organization
Organization Name:APRIA HEALTHCARE
Other - Org Name:APRIA HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SERVICE CENTER SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-489-9361
Mailing Address - Street 1:510 S WHEELER ST
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TX
Mailing Address - Zip Code:75951-4540
Mailing Address - Country:US
Mailing Address - Phone:409-489-9361
Mailing Address - Fax:409-489-9336
Practice Address - Street 1:510 S WHEELER ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TX
Practice Address - Zip Code:75951-4540
Practice Address - Country:US
Practice Address - Phone:409-489-9361
Practice Address - Fax:409-489-9336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid