Provider Demographics
NPI:1912981283
Name:AMERICAN HOMECARE SUPPLY CO
Entity Type:Organization
Organization Name:AMERICAN HOMECARE SUPPLY CO
Other - Org Name:AMERICAN HOME MEDICAL EQUIPMENT CO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:PARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-961-0155
Mailing Address - Street 1:650 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:PA
Mailing Address - Zip Code:18517-1112
Mailing Address - Country:US
Mailing Address - Phone:570-961-0155
Mailing Address - Fax:570-961-1802
Practice Address - Street 1:2300A OLD GETTYSBURG RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-7303
Practice Address - Country:US
Practice Address - Phone:717-761-9124
Practice Address - Fax:717-761-9127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1196210003Medicare ID - Type Unspecified