Organization Active NPI

At Home Health Equipment LLC

  • Oxygen Equipment & Supplies (DME)
  • Indianapolis, IN
National Provider Identifier
1710443734
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
AT HOME HEALTH EQUIPMENT LLC
Practice address
8320 Brookville Rd Ste H
Indianapolis, IN 46239-8914
Phone
(317) 759-6087
NPI assigned
Feb 14, 2019
Organization subpart
Yes
Parent organization
AT HOME HEALTH EQUIPMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Stacey Wayne Parker
Title
President
Phone
(317) 872-9702

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

8320 Brookville Rd Ste H
Indianapolis, IN 46239-8914

Mailing address

8320 Brookville Rd Ste H
Indianapolis, IN 46239-8914

Other identifiers 1

IdentifierTypeStateIssuer
1004566710MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
At Home Health Equipment LLC4 organizations share this tax ID, including this one
Part of
At Home Health Equipment LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8320 Brookville Rd
Ste H
Indianapolis, IN 46239
Phone (317) 759-6087

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1710443734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 BROOKVILLE RD STE H",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462398914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 BROOKVILLE RD STE H",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462398914",
            "telephone_number": "317-759-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME HEALTH EQUIPMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AT HOME HEALTH EQUIPMENT LLC",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-872-9702"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004566710",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.