Provider Demographics
NPI:1790382547
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 1:201 CALUMET CENTER RD STE AB
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:GA
Mailing Address - Zip Code:30241-6713
Mailing Address - Country:US
Mailing Address - Phone:706-350-5220
Mailing Address - Fax:
Practice Address - Street 1:201 CALUMET CENTER RD STE AB
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30241-6713
Practice Address - Country:US
Practice Address - Phone:706-350-5220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies