BROOKS HOME I.V., INC. (NPI# 1922033406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922033406 |
| Entity Type | Organization |
| Organization Name | BROOKS HOME I.V., INC. |
| Other Organization Name | BROOKS HEALTH CARE |
| Practice Address |
5070 N 6th St Ste 169 Fresno CA 93710-7508 |
| Mailing Address |
Po Box 9309 Fresno CA 93791-9309 |
| Practice Telephone | 8778893424 |
| Practice Fax Number | 8778326022 |
| 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 |
PHY48380 | 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 |
PHY48380 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1922033406 | 05 | |
| CA | DME03251F | 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 |
| 1760417232 | Brooks Home I.v., Inc. | Clinic/Center | 3410 W Ashlan Ave, Fresno, CA 93722-4440 | 2006-07-12 |
| Street Address |
5070 N 6TH ST STE 169 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-7508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| 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.