CORAM ALTERNATE SITE SERVICES INC. NPI 1114511490

NPI Information

  • NPI: 1114511490
  • Provider Name: CORAM ALTERNATE SITE SERVICES, INC.
  • Classification: Home Infusion - 251F00000X
  • Entity Type: Organization
  • Doing Business As: CORAM CVS/SPECIALTY INFUSION SERVICES
  • Address: 2022 GLENN PARK DR
    CHAMPAIGN, IL
    ZIP 61821
  • Phone: (217) 356-7900

Map and Directions

Get Directions

NPI Details

CORAM ALTERNATE SITE SERVICES, INC. is a home infusion in Champaign, IL. CORAM ALTERNATE SITE SERVICES, INC. NPI is 1114511490. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Coram Cvs/specialty Infusion Services.

The provider's business location address is:

2022 GLENN PARK DR
CHAMPAIGN, IL
ZIP 61821-405
Phone: (217) 356-7900

The provider's authorized official is Tricia Lacavich .
The authorized official title is President and has the following contact phone number (314) 306-3255.

The enumeration date for this NPI number is 2/26/2021 and was last updated on 10/19/2022.

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
1163WI0500XRegistered NurseInfusion TherapyNo
2251E00000XHome HealthNo
3251J00000XNursing CareNo
4251F00000XHome InfusionYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.