Provider Demographics
NPI:1124854914
Name:AT HOME MEDICAL, INC.
Entity type:Organization
Organization Name:AT HOME MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:LINGO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:706-566-9118
Mailing Address - Street 1:613 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36092-2812
Mailing Address - Country:US
Mailing Address - Phone:334-218-0545
Mailing Address - Fax:
Practice Address - Street 1:613 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36092-2812
Practice Address - Country:US
Practice Address - Phone:334-218-0545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies