KERN HOME HEALTH RESOURCES NPI 1699725739

NPI Information

NPI: 1699725739
Provider Name: KERN HOME HEALTH RESOURCES

Doing Business As: CORAM HEALTHCARE

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
3101 SILLECT AVE
#109
BAKERSFIELD, CA
ZIP 93308
Phone: (661) 325-8326
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KERN HOME HEALTH RESOURCES is a home infusion therapy pharmacy pharmacy in Bakersfield, CA. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. KERN HOME HEALTH RESOURCES NPI is 1699725739. The provider is registered as an organization entity type.
The provider Is Doing Business As Coram Healthcare.

The provider's business location address is:

3101 SILLECT AVE
#109
BAKERSFIELD, CA
ZIP 93308-348
Phone: (661) 325-8326
Fax: (661) 325-6509

The provider's authorized official is Vito Ponzio, Jr. .
The authorized official title is Sr Vp and has the following contact phone number (303) 672-8631.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 2/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251E00000X	Home Health		120000325	CALIFORNIA	No
2	251F00000X	Home Infusion		120000325	CALIFORNIA	No
3	261QI0500X	Clinic/Center	Infusion Therapy		CALIFORNIA	No
4	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	PHY 41725	CALIFORNIA	No
5	333600000X	Pharmacy		PHY 41725	CALIFORNIA	No
6	3336C0003X	Pharmacy	Community/Retail Pharmacy	PHY 41725	CALIFORNIA	No
7	3336M0002X	Pharmacy	Mail Order Pharmacy	PHY 41725	CALIFORNIA	No
8	332B00000X	Durable Medical Equipment & Medical Supplies		-PHY48940	CALIFORNIA	No
9	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	PHY 41725	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ25829Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	PART B LOCAL
2	-PHY48940	OTHER	CALIFORNIA	PHARMACY LICENSE
3	PHA417250	MEDICAID	CALIFORNIA
4	0601630001	MEDICARE NSC
5	120000325	OTHER	CALIFORNIA	HOME HEALTH AGENCY
6	BK4980593	OTHER		DEA
7	0522474	OTHER		NCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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