BROOKS HOME I.V., INC. (NPI# 1760417232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760417232 |
Entity Type | Organization |
Organization Name | BROOKS HOME I.V., INC. |
Other Organization Name | BROOKS HEALTH CARE |
Practice Address |
3410 W Ashlan Ave Fresno CA 93722-4440 |
Mailing Address |
Po Box 9309 Fresno CA 93791-9309 |
Practice Telephone | 5592214800 |
Practice Fax Number | 5592330227 |
Mailing Telephone | 5592214800 |
Mailing Fax Number | 5592330227 |
Enumeration Date | 2006-07-12 |
Last Update Date | 2009-11-19 |
Authorized Official Name | DR. KELLY JOHN BROOKS (C.E.O.) |
Authorized Official Telephone | 5592214800 |
Authorized Official Credential | PHARM D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
PHY43496 | CA | Ambulatory Health Care Facilities |
N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
101409 | CA | Suppliers |
Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PHY43496 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PHA434960 | 05 |
Other Name | Type Code |
---|---|
Brooks Health Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831115740 | Brooks Home I.v., Inc. | Durable Medical Equipment & Medical Supplies | 3070 M St, Suite 6, Merced, CA 95348-3221 | 2006-07-14 |
1922033406 | Brooks Home I.v., Inc. | Clinic/Center | 5070 N 6th St Ste 169, Fresno, CA 93710-7508 | 2006-07-12 |
Street Address |
3410 W ASHLAN AVE |
City | FRESNO |
State | CA |
Zip Code | 93722-4440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427310259 | Mona Lisa Franco | Dietitian, Registered | 3410 W Ashlan Ave, Fresno, CA 93722-4440 | 2012-06-07 |
1790882074 | Continental Homecare, Inc. | Durable Medical Equipment & Medical Supplies | 3410 W Ashlan Ave, Fresno, CA 93722-4440 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
Find all providers in zip 93722 |
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 |
---|---|---|---|---|
1275612673 | Valley Children's Hospital | Pharmacy | 5085 E Mckinley Ave, Fresno, CA 93727-1964 | 2006-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447897921 | Pharmacy Home Infusion Network | Pharmacy | 900 W Glenoaks Blvd Ste G, Glendale, CA 91202-2664 | 2019-12-04 |
1073085007 | Kaiser Foundation Health Plan Inc | Pharmacy | 615 W Avenue L Trailer, Lancaster, CA 93534-7211 | 2019-01-02 |
1386155752 | Toci Health Inc | Pharmacy | 8851 Watson St Apt B, Cypress, CA 90630-2269 | 2017-10-12 |
1154875466 | Medquick Prescription Shoppe Inc | Pharmacy | 923 Cole Ave, Los Angeles, CA 90038-2610 | 2016-08-04 |
1841665973 | Biomed California, Inc | Pharmacy | 721 S Glasgow Ave., Suite C, Inglewood, CA 90301-3016 | 2015-12-01 |
1790158756 | Soleo Health Inc. | Pharmacy | 1324 W. Winton Ave, Hayward, CA 94545-1408 | 2015-11-12 |
1982013462 | Medrx Infusion Clinical Pharmacy, LLC | Pharmacy | 415 N Oak St, Inglewood, CA 90302-3314 | 2014-08-08 |
1669884722 | Dm Clinical Collaborations | Pharmacy | 6108 San Fernando Rd, Glendale, CA 91201-2240 | 2014-05-23 |
1609209352 | Santa Barbara Specialty Pharmacy LLC | Pharmacy | 4690 Carpinteria Ave Ste B, Carpinteria, CA 93013-1875 | 2013-08-16 |
1265773501 | Saint Paul Enterprises, Inc. | Pharmacy | 1010 E Arrow Hwy, Covina, CA 91724-1020 | 2013-03-12 |
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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.