Provider Demographics
NPI:1699740126
Name:AMERICAN HOMEPATIENT, INC.
Entity type:Organization
Organization Name:AMERICAN HOMEPATIENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. VICE PRESIDENT ASSIST. SEC.
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:GOUY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-221-8191
Mailing Address - Street 1:PO BOX 532697
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30353-2697
Mailing Address - Country:US
Mailing Address - Phone:229-257-0075
Mailing Address - Fax:229-259-0726
Practice Address - Street 1:120 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ASHLAND CITY
Practice Address - State:TN
Practice Address - Zip Code:37015-1610
Practice Address - Country:US
Practice Address - Phone:615-792-1177
Practice Address - Fax:615-792-4264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN425332BP3500X
TN0000001329332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY09274010Medicaid
TN1454512Medicaid
0210310184Medicare ID - Type Unspecified