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CORAM HEALTHCARE CORPORATION OF NORTHERN CALIFORNIA NPI 1629027867


NPI Information

NPI: 1629027867
Provider Name: CORAM HEALTHCARE CORPORATION OF NORTHERN CALIFORNIA

Doing Business As: CORAM CVS/SPECIALTY INFUSION SERVICES

Classification: Home Infusion - 251F00000X
Entity Type: Organization
Address:
1401 WILLOW PASS RD
CONCORD, CA
ZIP 94520
Phone: (323) 371-5046
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CORAM HEALTHCARE CORPORATION OF NORTHERN CALIFORNIA is a home infusion in Concord, CA. CORAM HEALTHCARE CORPORATION OF NORTHERN CALIFORNIA NPI is 1629027867. The provider is registered as an organization entity type.
The provider Is Doing Business As Coram Cvs/specialty Infusion Services.

The provider's business location address is:

1401 WILLOW PASS RD
CONCORD, CA
ZIP 94520-982
Phone: (323) 371-5046

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 5/6/2006 and was last updated on 3/7/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health020000338CALIFORNIANo
2251F00000XHome Infusion020000338CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHY49294OTHERCALIFORNIAPHARMACY LICENSE
2020000338OTHERCALIFORNIAHOME HEALTH AGENCY
30522385OTHERNCPDP
4PHA466360MEDICAIDCALIFORNIA

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: 4/28/2024

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.