Active NPI
American Home Medical, LLC
- Oxygen Equipment & Supplies (DME)
- Saint Clair Shores, MI
National Provider Identifier
1598769309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- AMERICAN HOME MEDICAL, LLC
- Practice address
- 24912 Harper Ave
Saint Clair Shores, MI 48080-1242 - Phone
- (586) 775-1111
- Fax
- (586) 552-1111
- NPI assigned
- Jun 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Cynthia Lee Rose
- Title
- Ceo
- Phone
- (586) 775-1111
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility Supplies (DME) | 332BN1400X | MI | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | MI | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | MI | Primary |
Addresses
Primary practice location
24912 Harper Ave
Saint Clair Shores, MI 48080-1242
Mailing address
PO Box 32730
Detroit, MI 48232-0730
Phone (586) 775-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4383527 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
24912 Harper Ave
Saint Clair Shores, MI 48080
Phone (586) 775-1111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1598769309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32730",
"city": "DETROIT",
"state": "MI",
"postal_code": "482320730",
"telephone_number": "586-775-1111",
"fax_number": "586-552-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24912 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801242",
"telephone_number": "586-775-1111",
"fax_number": "586-552-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN HOME MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-09",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "586-775-1111",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4383527",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.