1861622581 NPI number — NEW ENGLAND HOME INFUSION INC

Table of content: (NPI 1861622581)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861622581 NPI number — NEW ENGLAND HOME INFUSION INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW ENGLAND HOME INFUSION INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
APOTHECARE COMPOUNDING SOLUTIONS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861622581
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/03/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3303 S COUNTY TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
E GREENWICH
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02818-1434
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-821-5000
Provider Business Mailing Address Fax Number:
401-821-5016

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3303 S COUNTY TRL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
E GREENWICH
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02818-1434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-821-5000
Provider Business Practice Location Address Fax Number:
401-821-5016
Provider Enumeration Date:
07/15/2009

Additional Information

Authorized Official

Authorized Official Last Name:
GILMORE
Authorized Official First Name:
MARK
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
401-821-5000

Provider Taxonomy Codes

  • Taxonomy code: 3336C0004X , with the licence number:  PHA00524 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2121446 . This is a "PK" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com