CORAM HEALTHCARE CORPORATION OF GREATER DC NPI 1659300861

NPI Information

NPI: 1659300861
Provider Name: CORAM HEALTHCARE CORPORATION OF GREATER DC

Doing Business As: CORAM CVS/SPECIALTY INFUSION SERVICES

Classification: Home Infusion - 251F00000X
Entity Type: Organization

Address:
7150 COLUMBIA GATEWAY DR
SUITE E
COLUMBIA, MD
ZIP 21046
Phone: (410) 720-6501
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CORAM HEALTHCARE CORPORATION OF GREATER DC is a home infusion in Columbia, MD. CORAM HEALTHCARE CORPORATION OF GREATER DC NPI is 1659300861. 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:

7150 COLUMBIA GATEWAY DR
SUITE E
COLUMBIA, MD
ZIP 21046-972
Phone: (410) 720-6501
Fax: (410) 720-6460

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 CLIA number assigned to this NPI record is 21D0928157 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251E00000X	Home Health		1094	MARYLAND	No
2	261QI0500X	Clinic/Center	Infusion Therapy	1094	MARYLAND	No
3	332B00000X	Durable Medical Equipment & Medical Supplies				No
4	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	PWO131	MARYLAND	No
5	333600000X	Pharmacy		PWO131	MARYLAND	No
6	3336C0003X	Pharmacy	Community/Retail Pharmacy	PWO131	MARYLAND	No
7	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	PWO131	MARYLAND	No
8	3336M0002X	Pharmacy	Mail Order Pharmacy	PWO131	MARYLAND	No
9	251F00000X	Home Infusion		1094	MARYLAND	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	1094	OTHER	MARYLAND	RESIDENTIAL SERVICE AGENC
2	2120323	OTHER		NCPDP
3	PWO131	OTHER	MARYLAND	RX LICENSE

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

NPI Synchronization or Removal

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