Advanced Home Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1002 Issued in TN

Legal business name

ADVANCED HOME MEDICAL, LLC

Practice address

495 E Main St
Ste 3
Hohenwald, TN 38462-2082

Phone

(931) 796-4428

Fax

(931) 796-4430

NPI assigned

Sep 28, 2009

Last updated

May 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Elaine Clayton, CRT

Title

Owner/Ceo

Phone

(931) 796-4428

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1568796233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667",
            "city": "HOHENWALD",
            "state": "TN",
            "postal_code": "384620667",
            "telephone_number": "931-796-4428",
            "fax_number": "931-796-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 E MAIN ST",
            "address_2": "STE 3",
            "city": "HOHENWALD",
            "state": "TN",
            "postal_code": "384622082",
            "telephone_number": "931-796-4428",
            "fax_number": "931-796-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOME MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "931-796-4428",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "1002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.