CORAM HEALTHCARE CORPORATION OF GREATER DC (NPI# 1396130381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396130381 |
| Entity Type | Organization |
| Organization Name | CORAM HEALTHCARE CORPORATION OF GREATER DC |
| Other Organization Name | CORAM CVS/SPECIALTY INFUSION SERVICES |
| Practice Address |
10 E Wilson Blvd Hagerstown MD 21740-7331 |
| Mailing Address |
555 17th St Suite 1500 Denver CO 80202-3950 |
| Practice Telephone | 4107206501 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2016-03-24 |
| Authorized Official Name | JODY L KEPLER (PRESIDENT) |
| Authorized Official Telephone | 3036728631 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORAM HEALTHCARE CORPORATION OF GREATER DC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Coram CVS/specialty Infusion Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659300861 | Coram Healthcare Corporation of Greater Dc | Pharmacy | 7150 Columbia Gateway Dr, Suite E, Columbia, MD 21046-2972 | 2006-07-01 |
| 1962897959 | Coram Healthcare Corporation of Greater Dc | Clinic/Center | 7600 Crain Hwy, Upper Marlboro, MD 20772-4232 | 2015-04-06 |
| 1689069676 | Coram Healthcare Corporation of Greater Dc | Clinic/Center | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2015-04-06 |
| 1245625235 | Coram Healthcare Corporation of Greater Dc | Clinic/Center | 300 Ballenger Center Dr, Frederick, MD 21703-7096 | 2015-04-06 |
| 1134228745 | Coram Healthcare Corporation of Greater Dc | Home Health | 4115 Pleasant Valley Rd, Suite 200, Chantilly, VA 20151-1220 | 2006-09-21 |
| Street Address |
10 E WILSON BLVD |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-7331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679677595 | Maryland Cvs Pharmacy LLC | Pharmacy | 10 E Wilson Blvd, Hagerstown, MD 21740-7331 | 2006-09-12 |
| 1326693391 | Ifeanyi Israel Ogbonna | Pharmacist | 10 E Wilson Blvd, Hagerstown, MD 21740-7331 | 2019-08-07 |
| 1275187106 | Jocelyn Corin Threatt | Pharmacist | 10 E Wilson Blvd, Hagerstown, MD 21740-7331 | 2019-07-29 |
| 1568861698 | Kendra Bryan | Pharmacist | 10 E Wilson Blvd, Hagerstown, MD 21740-7331 | 2014-08-14 |
| 1457765646 | Penny Sardina | Pharmacist | 10 E Wilson Blvd, Cvs Pharmacy #1442, Hagerstown, MD 21740-7331 | 2014-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265917017 | Hagerstown Infusion, LLC | Clinic/Center | 1829 Howell Rd Ste 2b, Hagerstown, MD 21740-6606 | 2018-09-27 |
| 1184989683 | Meritus Medical Center Inc | Clinic/Center | 324 E Antietam St, Hagerstown, MD 21740-5754 | 2012-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145381 | Baltimore Ketamine Clinic | Clinic/Center | 1 Texas Station Ct Ste 320, Timonium, MD 21093-8290 | 2019-10-17 |
| 1336629609 | Rhenew Infusion Services LLC | Clinic/Center | 166 Defense Hwy Ste L102, Annapolis, MD 21401-8925 | 2018-08-16 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1881104065 | Ally Infusion, LLC | Clinic/Center | 7651 Matapeake Bus Dr Ste 103, Brandywine, MD 20613 | 2017-10-02 |
| 1922537299 | Medvenous LLC | Clinic/Center | 4200 Forbes Blvd Ste 209, Lanham, MD 20706-4829 | 2017-06-08 |
| 1568400687 | Option Care Enterprises, Inc. | Clinic/Center | 9140 Guilford Rd, Suite K, Columbia, MD 21046-1811 | 2006-06-02 |
| 1811547540 | Revered Medical, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852-4119 | 2019-09-15 |
| 1215585336 | Wellness Infusions | Clinic/Center | 5430 Campbell Blvd Ste 111, White Marsh, MD 21162-5503 | 2019-09-02 |
| 1417418724 | Hydrxafuse, LLC | Clinic/Center | 49 Old Solomons Island Rd Ste 104, Annapolis, MD 21401-3861 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
Please comment or provide details below to improve the information on CORAM HEALTHCARE CORPORATION OF GREATER DC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.