Provider Demographics
NPI:1912979287
Name:AMERICAN HOMEPATIENT, INC.
Entity Type:Organization
Organization Name:AMERICAN HOMEPATIENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-530-7700
Mailing Address - Street 1:PO BOX 676594
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-6594
Mailing Address - Country:US
Mailing Address - Phone:918-252-3591
Mailing Address - Fax:918-252-3701
Practice Address - Street 1:9220 PALM RIVER RD
Practice Address - Street 2:SUITE 105
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-4476
Practice Address - Country:US
Practice Address - Phone:813-621-1799
Practice Address - Fax:800-313-7238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14279332BP3500X, 333600000X, 3336C0004X, 3336H0001X, 3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME185480003Medicaid
GA300040071MMedicaid
MSOO440613Medicaid
AR142473741Medicaid
IN200319480AMedicaid
OH2086746Medicaid
CO93000784Medicaid
NC7702476Medicaid
NMOOO61897Medicaid
DEOOOO820016Medicaid
LA1266582Medicaid
MN443942200Medicaid
IA588319Medicaid
MD799800700Medicaid
KY90632290Medicaid
FL106461400Medicaid
MO622920502Medicaid
GA300040071MMedicaid
MO622920502Medicaid
NE=========00Medicaid