Organization
AT HOME HEALTH EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J CRAWFORD (CEO)
(859) 441-8876
Entity
Organization
Contact information
Practice address
4309 W 96TH ST, INDIANAPOLIS, IN 46268-1115
(317) 872-9702
(317) 872-9704
Mailing address
1019 TOWN DR, HIGHLAND HEIGHTS, KY 41076-9114
(859) 441-8876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
69000078A
IN
332BC3200X
Customized Equipment (DME)
69000078A
IN
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
69000078A
IN
332BX2000X
Oxygen Equipment & Supplies (DME)
69000078A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003558
SENIOR SMART CHOICE
IN
01
—
000000097424
ANTHEM BLUE CROSS/BLUE SH
IN
05
—
100466710A
—
IN
01
—
361357600
US DEPT OF LABOR
IN
01
—
434281
BLACK LUNG/DEPT OF LABOR
IN
01
—
56609
FORD MOTOR INS CARRIER
IN
01
—
5946480
AETNA INS CARRIER
IN
Enumeration date
10/20/2006
Last updated
02/25/2022
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