Provider Demographics
NPI:1912298324
Name:AMERICUS HEALTHCARE, DME
Entity Type:Organization
Organization Name:AMERICUS HEALTHCARE, DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NATE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-327-3300
Mailing Address - Street 1:1122 S CAPITAL OF TEXAS HWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-7175
Mailing Address - Country:US
Mailing Address - Phone:512-327-3300
Mailing Address - Fax:
Practice Address - Street 1:2519 S LAKELINE BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2964
Practice Address - Country:US
Practice Address - Phone:512-249-9706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment