NPIMap

Organization Active NPI

American Homepatient, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Bentonville, AR
National Provider Identifier
1073514980
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
WD03102 Issued in AR
Legal business name
AMERICAN HOMEPATIENT, INC.
Practice address
1200 SE 14TH St
Suite 8
Bentonville, AR 72712-7996
Phone
(479) 273-1803
Fax
(479) 273-1805
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Mr. Greg McCarthy
Title
Sr. Vice President
Phone
(727) 530-7700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X G00182 AR
Oxygen Equipment & Supplies (DME) 332BX2000X WD03102 AR Primary

Addresses

Primary practice location

1200 SE 14TH St
Suite 8
Bentonville, AR 72712-7996

Mailing address

PO Box 970592
Dallas, TX 75397-0592
Phone (501) 537-2323

Other identifiers 2

IdentifierTypeStateIssuer
138770716MedicaidAR
138773737MedicaidAR

National Provider Directory

National Provider Directory

Member of 14

Organizations this organization is a member of, according to the National Provider Directory.

View all 14

Locations

11660 Alpharetta Hwy
Ste 530
Roswell, GA 30076
Phone (678) 694-1621

2604 North Ct
Ste B
Ottumwa, IA 52501
Phone (641) 682-8555

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1073514980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970592",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753970592",
            "telephone_number": "501-537-2323",
            "fax_number": "501-671-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SE 14TH ST",
            "address_2": "SUITE 8",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127996",
            "telephone_number": "479-273-1803",
            "fax_number": "479-273-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOMEPATIENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "727-530-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "AR",
            "license": "G00182",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AR",
            "license": "WD03102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138770716",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138773737",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.