Provider Demographics
NPI:1841336732
Name:APRIA HEALTHCARE
Entity type:Organization
Organization Name:APRIA HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING CENTER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALLESHIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHULTS-STARK
Authorized Official - Suffix:
Authorized Official - Credentials:MBA CPC MA
Authorized Official - Phone:317-865-4409
Mailing Address - Street 1:7353 COMPANY DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-9274
Mailing Address - Country:US
Mailing Address - Phone:317-865-4409
Mailing Address - Fax:949-462-8380
Practice Address - Street 1:1581 E 90TH PL
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-8130
Practice Address - Country:US
Practice Address - Phone:219-736-6222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========038Medicaid