Advanced Home Medical Inc
Organization Active NPI Oxygen Equipment & Supplies (DME) · Hopkinsville, KY
NPI 1831287150 · NPPES record last updated Mar 7, 2021
Key facts
- NPI
- 1831287150
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- Legal business name
- ADVANCED HOME MEDICAL INC
- Practice address
- 2212 Fort Campbell Blvd
Hopkinsville, KY 42240-4665 - Phone
- (270) 886-2544
- Fax
- (270) 881-4799
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Frank Field
- Title
- Owner
- Phone
- (270) 886-2544
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Advanced Home Medical Inc |
Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers|W… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930059119 | KY | DME Supplier - Medical Supply Company With Orthotic-Prosthetic |
3779790332 | Practice locations: Hopkinsville, KY |
National Provider Directory
Locations
2212 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 886-2544
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Yes |
Addresses
Primary practice location
2212 Fort Campbell Blvd
Hopkinsville, KY 42240-4665
Mailing address
2212 Fort Campbell Blvd
Hopkinsville, KY 42240-4665
Phone (270) 886-2544
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90006743 | Medicaid | KY | |
| 000000301041 | Other | KY | BLUE CROSS/BLUE SHIELD |
Other providers in Hopkinsville, KY
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- Air Evac EMS Inc
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All providers in Hopkinsville, KY · Oxygen Equipment & Supplies (DME) in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.