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Organization
AIRCARE HOME MEDICAL, INC.
Active
Organization
AIRCARE HOME MEDICAL, INC.
Active
Parent organization
AEROCARE HOLDINGS, INC.
Other names
AirCare Home Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS, INC.
Authorized official
STEPHEN GRIGGS (CEO)
(407) 206-0040
Entity
Organization
Contact information
Practice address
1703 CHARLESTOWN NEW ALBANY RD STE D&E, JEFFERSONVILLE, IN 47130
(812) 218-0077
(812) 218-0088
Mailing address
3325 BARTLETT BLVD, ORLANDO, FL 32811-6428
(407) 206-0040
(407) 206-0010
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
MG0333
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000208710
ANTHEM
KY
01
—
1142572
PASSPORT
KY
05
—
200339580A
—
IN
01
—
2438161000
PASSPORT ADVANTAGE
KY
05
—
90003328
—
KY
Enumeration date
07/13/2006
Last updated
12/21/2020
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