Provider Demographics
NPI:1396453049
Name:AT HOME MEDICAL, INC.
Entity type:Organization
Organization Name:AT HOME MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:LINGO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:706-566-9118
Mailing Address - Street 1:324 SAINT LUKES DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-7108
Mailing Address - Country:US
Mailing Address - Phone:334-235-0340
Mailing Address - Fax:334-274-0055
Practice Address - Street 1:466 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36067-3420
Practice Address - Country:US
Practice Address - Phone:334-730-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-11
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies