Provider Demographics
NPI:1265422885
Name:AMERICAN HOME MEDICAL EQUIPMENT INC
Entity type:Organization
Organization Name:AMERICAN HOME MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TISEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-395-1850
Mailing Address - Street 1:3863 S VALLLEY VIEW
Mailing Address - Street 2:SUITE 11
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-2944
Mailing Address - Country:US
Mailing Address - Phone:702-395-1850
Mailing Address - Fax:702-365-1853
Practice Address - Street 1:3863 S VALLLEY VIEW
Practice Address - Street 2:SUITE 11
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-2944
Practice Address - Country:US
Practice Address - Phone:702-395-1850
Practice Address - Fax:702-365-1853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1000155424332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1292990001Medicare ID - Type Unspecified