| Organization Name: | ADVANCED HOME MEDICAL, LLC |
| NPI Number: | 1568796233 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIM ELAINE CLAYTON (OWNER/CEO) |
| Mailing Address: | 495 E Main St Ste 3 Hohenwald |
| State: | TN US |
| Postal Code: | 384622082 |
| Phone Number: | 9317964428 |
| Fax Number: | 9317964430 |
| NPI Enumeration Date: | 09/28/2009 |
| NPI Last Update Date: | 05/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 1002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |