Organization Active NPI

American Home Medical, LLC

  • Oxygen Equipment & Supplies (DME)
  • Saint Clair Shores, MI
National Provider Identifier
1598769309
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4383527MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.