NPIMap

Organization Active NPI

American Homepatient, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Waterloo, IA
National Provider Identifier
1306818141
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
5043 Issued in KS
Legal business name
AMERICAN HOMEPATIENT, INC.
Practice address
2723 Falls Ave
Waterloo, IA 50701-5723
Phone
(319) 233-3270
Fax
(319) 235-5244
NPI assigned
Feb 6, 2006
Last updated
Apr 7, 2016By the provider in NPPES
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 5043 IA
Oxygen Equipment & Supplies (DME) 332BX2000X 5043 KS Primary

Addresses

Primary practice location

2723 Falls Ave
Waterloo, IA 50701-5723

Mailing address

1565 Solutions Ctr
Chicago, IL 60677-1005
Phone (319) 234-1705

Other identifiers 6

IdentifierTypeStateIssuer
0254946MedicaidIA
58404MedicaidIA
973763400MedicaidMN
0129114MedicaidWA
0254649MedicaidIA
58156OtherBC BS PHARMACY

National Provider Directory

National Provider Directory

Member of 16

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

View all 16

Locations

2723 Falls Ave
Waterloo, IA 50701
Phone (319) 233-3270

5200 Maryland Way
Ste 400
Brentwood, TN 37027

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1306818141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 SOLUTIONS CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771005",
            "telephone_number": "319-234-1705",
            "fax_number": "319-234-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 FALLS AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015723",
            "telephone_number": "319-233-3270",
            "fax_number": "319-235-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOMEPATIENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "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": "IA",
            "license": "5043",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "KS",
            "license": "5043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254946",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58404",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "973763400",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129114",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254649",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PHARMACY",
            "identifier": "58156",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

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.