BLUE IV LLC NPI 1306624358

NPI Information

  • NPI: 1306624358
  • Provider Name: BLUE IV LLC
  • Classification: Home Infusion - 251F00000X
  • Entity Type: Organization
  • Former Legal Business Name: REVIVE IV, LLC
  • Address: 32 LONDON BRIDGE RD
    WINDHAM, NH
    ZIP 03087
  • Phone: (612) 367-7806

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NPI Details

BLUE IV LLC is a home infusion in Windham, NH. BLUE IV LLC NPI is 1306624358. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Revive Iv, Llc.

The provider's business location address is:

32 LONDON BRIDGE RD
WINDHAM, NH
ZIP 03087-786
Phone: (612) 367-7806

The provider's authorized official is Kim Boyle .
The authorized official title is Coo and has the following contact phone number (914) 512-1793.

The enumeration date for this NPI number is 9/20/2023 and was last updated on 7/29/2024.

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
1251F00000XHome 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

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