At Home Respiratory, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AT HOME RESPIRATORY, INC.

Practice address

8081 Philips Hwy
Suite 15
Jacksonville, FL 32256-7464

Phone

(904) 733-8445

Fax

(904) 733-8446

NPI assigned

May 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Otto Keith Boyett

Title

President

Phone

(904) 733-8445

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1063460053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 PHILIPS HWY",
            "address_2": "SUITE 15",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567464",
            "telephone_number": "904-733-8445",
            "fax_number": "904-733-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 PHILIPS HWY",
            "address_2": "SUITE 15",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567464",
            "telephone_number": "904-733-8445",
            "fax_number": "904-733-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME RESPIRATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "BOYETT",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-733-8445"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PARTICIPATING PROVIDER",
            "identifier": "R9520",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026498900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Walter Assmann, DPT
• Assured Psychiatry PLLC
• Amber Lynn Astrella, APRN
• Abraham Aber Asturia, DMD
• At Home Palliative Care, LLC
• At Home Wound Care and Skilled Services LLC
• Mohammed Ata
• Marc G Ataiza
• Mark Atallah
• Katerina Nikolaeva Atanasova, CCC-SLP

• Durable Medical Equipment & Medical Supplies in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.