NPIMap

Organization Active NPI

American Homepatient, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Fort Walton Beach, FL
National Provider Identifier
1306817820
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
3200097 Issued in FL
Legal business name
AMERICAN HOMEPATIENT, INC.
Practice address
115F Racetrack Rd NW
Fort Walton Beach, FL 32547-1644
Phone
(850) 863-1100
Fax
(850) 863-2711
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Mr. Greg McCarthy
Title
Coo
Phone
(727) 530-7700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X HHA201290961 FL
Oxygen Equipment & Supplies (DME) 332BX2000X 3200097 FL Primary

Addresses

Primary practice location

115F Racetrack Rd NW
Fort Walton Beach, FL 32547-1644

Mailing address

PO Box 532547
Atlanta, GA 30353-2547
Phone (229) 257-0075

Other identifiers 3

IdentifierTypeStateIssuer
10251500MedicaidFL
102515502MedicaidFL
027468200MedicaidFL

National Provider Directory

National Provider Directory

Member of 15

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

View all 15

Locations

115F Racetrack Rd NW
Fort Walton Beach, FL 32547
Phone (850) 863-1100

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1306817820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532547",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303532547",
            "telephone_number": "229-257-0075",
            "fax_number": "229-259-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115F RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471644",
            "telephone_number": "850-863-1100",
            "fax_number": "850-863-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOMEPATIENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "COO",
        "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": "FL",
            "license": "HHA201290961",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "3200097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10251500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102515502",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027468200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.