CORAM ALTERNATE SITE SERVICES INC (NPI# 1578505897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578505897 |
| Entity Type | Organization |
| Organization Name | CORAM ALTERNATE SITE SERVICES INC |
| Other Organization Name | CORAM CVS/SPECIALTY INFUSION SERVICES |
| Practice Address |
1471 E Business Center Dr Ste 500 Mt Prospect IL 60056-6046 |
| Mailing Address |
Po Box 809160 Chicago IL 60680-9160 |
| Practice Telephone | 5633863220 |
| Mailing Telephone | 8662245134 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | WILLIAM BOLGAR (PRESIDENT/TREASURER) |
| Authorized Official Telephone | 7208953211 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORAM ALTERNATE SITE SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 1010093 | IL | Agencies |
| N | 251F00000X | Home Infusion | 1010093 | IL | Agencies |
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
N/A | IL | Ambulatory Health Care Facilities |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
0054-013063 | IL | Suppliers |
| N | 333600000X | Pharmacy | 0054-01306 | IL | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0054-013063 | IL | Suppliers |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
0054-01306 | IL | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
0054-013063 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BC4577384 | 01 | |
| IL | HOME HEALTH AGENCY | 1010093 | 01 |
| NCPDP | 1466146 | 01 | |
| IL | RX LICENSE | 0054-013063 | 01 |
| Other Name | Type Code |
|---|---|
| Coram CVS/specialty Infusion Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578866737 | Coram Alternate Site Services Inc | Pharmacy | 3439 N 12th Ave, Ste A&b, Pensacola, FL 32503-4008 | 2010-12-09 |
| 1295038438 | Coram Alternate Site Services Inc | Home Infusion | 5955 Core Ave Ste 512, North Charleston, SC 29406-6085 | 2010-12-09 |
| 1184723884 | Coram Alternate Site Services Inc | Pharmacy | 10118 Huebner Rd, San Antonio, TX 78240-1319 | 2006-09-21 |
| 1134226178 | Coram Alternate Site Services Inc | Pharmacy | 10611 S Sam Houston Pkwy W, Suite 200, Houston, TX 77071-3111 | 2006-09-20 |
| 1861599896 | Coram Alternate Site Services Inc | Home Health | 3817 Constitution Dr Ste 300, El Paso, TX 79922-1375 | 2006-09-20 |
| 1740390202 | Coram Alternate Site Services Inc | Pharmacy | 1905-a Kramer Lane, Suite 500, Austin, TX 78758-6299 | 2006-08-30 |
| 1629184957 | Coram Alternate Site Services Inc | Pharmacy | 1680 Century Center Pkwy, Suite 12, Memphis, TN 38134-8827 | 2006-08-21 |
| 1497767966 | Coram Alternate Site Services Inc | Home Health | 30 Garfield St, Ste B, Asheville, NC 28803-7302 | 2006-08-13 |
| 1346250610 | Coram Alternate Site Services Inc | Home Health | 6565 Davis Industrial Pkwy, Suite Aa, Solon, OH 44139-3559 | 2006-08-09 |
| 1003826694 | Coram Alternate Site Services Inc | Pharmacy | 7358 Sw Durham Rd, Portland, OR 97224-7307 | 2006-08-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Coram Alternate Site Services Inc. | 1 Cvs Dr, Mc 1160, Woonsocket, Rhode Island 02895-6146 |
| Street Address |
1471 E BUSINESS CENTER DR STE 500 |
| City | MT PROSPECT |
| State | IL |
| Zip Code | 60056-6046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649704511 | Daniel Morrow | Pharmacist | 1471 E Business Center Dr, Ste 200, Mt Prospect, IL 60056-6046 | 2017-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023649829 | Blocki and Bashford Dental, LLC | Dentist | 200 E. Evergreen, Suite 129, Mt. Prospect, IL 60056 | 2020-01-30 |
| 1740745934 | Luminate Therapy Group of Illinois, LLC | Behavioral Analyst | 580 Slawin Court, Mt. Prospect, IL 60056 | 2019-02-01 |
| 1952884009 | Erin Kathleen Neal | Social Worker | 1550 Bishop Court, Mount Prospect, IL 60056 | 2018-09-13 |
| 1215431028 | Teandra Gelemer Delancy | Social Worker | Kenneth Young Center, 1585 West Dempster St, Mt. Prospect, IL 60056 | 2018-03-19 |
| 1578071650 | Azk Transportation Inc | Non-emergency Medical Transport (VAN) | 415 E Prospect Ave, 3c, Mount Prospect, IL 60056 | 2018-01-11 |
| 1275059859 | Sara Tyburski | Psychologist | 701 W Gregory, Mount Prospect, IL 60056 | 2017-08-16 |
| 1487197257 | Roma R D'silva | General Practice | 608 South Noah Terrace, Mount Prospect, IL 60056 | 2016-11-29 |
| 1568918159 | Georgeshia Norwood | Social Worker | 1820 West Dempster, Mount Prospect, IL 60056 | 2016-09-01 |
| 1568919025 | Scott G Smoron Dds Msd Ltd | Dentist | 421 W. Prospect Ave., Mount Prospect, IL 60056 | 2016-09-01 |
| 1568918365 | Kathleen Huttner | Counselor | 1820 W. Dempser, Kenneth Young Center, Mount Prospect, IL 60056 | 2016-08-31 |
| Find all providers in zip 60056 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396814927 | Infuscience, Inc. | Pharmacy | 1225 Tri State Pkwy, Suite 510, Gurnee, IL 60031-9163 | 2006-11-07 |
| 1629151824 | Rx Solutions Inc | Pharmacy | 441 Eisenhower Lane South, Lombard, IL 60148 | 2006-10-23 |
| 1841381738 | Presence Healthcare Services | Pharmacy | 100 N. River Road, Suite 122s, Des Plaines, IL 60016-1209 | 2006-09-27 |
| 1689781080 | Elmhurst Memorial Hospital | Pharmacy | 155 E Brush Hill Road, Elmhurst, IL 60126 | 2006-08-23 |
| 1942313143 | Infusion Therapy Acquisition Corp | Pharmacy | 1225 Tri-state Parkway, Suite 510, Gurnee, IL 60031 | 2006-08-15 |
| 1831104546 | Pointcore, Inc. | Pharmacy | 9951 Rock Cut Crossing, Loves Park, IL 61111 | 2006-07-30 |
| 1952322901 | Heartland Infustion Therapy | Pharmacy | 415 Ne Saint Mark Ct, Peoria, IL 61603-3716 | 2006-07-22 |
| 1235174954 | Infusion Plus Inc. | Pharmacy | 545 W Taft Dr, South Holland, IL 60473-2030 | 2006-06-17 |
| 1063465185 | In Touch Medical Mgmt Inc | Pharmacy | 554 W Taft Dr, South Holland, IL 60473-2029 | 2006-05-18 |
| 1396703088 | Central Dupage Special Health Association | Pharmacy | 26w171 Roosevelt Rd Rm G021, Wheaton, IL 60187-6002 | 2006-05-02 |
| Find all providers with the same taxonomy | ||||
| City | MT PROSPECT |
| Zip Code | 60056 |
Please comment or provide details below to improve the information on CORAM ALTERNATE SITE SERVICES INC.
| 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.