CORAM ALTERNATE SITE SERVICES, INC. (NPI# 1770075152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770075152 |
| Entity Type | Organization |
| Organization Name | CORAM ALTERNATE SITE SERVICES, INC. |
| Other Organization Name | CORAM CVS/SPECIALTY INFUSION SERVICES |
| Practice Address |
8910 W 192nd St Ste J Mokena IL 60448-8111 |
| Mailing Address |
Po Box 809160 Chicago IL 60680-9160 |
| Practice Telephone | 8004300664 |
| Mailing Telephone | 8662245134 |
| Enumeration Date | 2018-06-01 |
| 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 | Agencies | ||
| N | 251F00000X | Home Infusion | Agencies | ||
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Coram CVS/specialty Infusion Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619478047 | Coram Alternate Site Services, Inc. | Pharmacy | 4601 E Hilton Ave Ste 105, Phoenix, AZ 85034-6406 | 2018-02-21 |
| 1295192565 | Coram Alternate Site Services, Inc. | Durable Medical Equipment & Medical Supplies | 136 S Mckinley St, Casper, WY 82601-2745 | 2016-01-18 |
| 1528498490 | Coram Alternate Site Services, Inc. | Home Health | 3101 N Sillect Ave, Ste 109, Bakersfield, CA 93308-6348 | 2013-11-13 |
| 1871926030 | Coram Alternate Site Services, Inc. | Clinic/Center | 4317 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809-9643 | 2013-08-12 |
| 1053663906 | Coram Alternate Site Services, Inc. | Home Infusion | 101 East Silver Springs Blvd, Suite 202, Ocala, FL 34470-6605 | 2012-10-02 |
| 1861760233 | Coram Alternate Site Services, Inc. | Home Infusion | 555 Winderley Pl Ste 300, Maitland, FL 32751-7133 | 2011-12-13 |
| 1932477809 | Coram Alternate Site Services, Inc. | Home Health | 12 Northbrook Dr Ste 1, Falmouth, ME 04105-1318 | 2011-12-07 |
| 1003183401 | Coram Alternate Site Services, Inc. | Home Health | 8201 E 34th Street Cir N Ste 905, Wichita, KS 67226-1364 | 2011-11-30 |
| 1629355482 | Coram Alternate Site Services, Inc. | Home Health | 11711 N College Ave Ste 125, Carmel, IN 46032-5634 | 2011-11-08 |
| 1528345519 | Coram Alternate Site Services, Inc. | Home Health | 5511 E 3rd Ave, Spokane Valley, WA 99212-0726 | 2011-11-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CORAM ALTERNATE SITE SERVICES, INC. | One Cvs Drive, Woonsocket, RI 02895 |
| Iowa Business Entities | CORAM ALTERNATE SITE SERVICES, INC. | One Cvs Drive, Woonsocket, RI 02895 |
| Vermont Business Registrations | CORAM ALTERNATE SITE SERVICES, INC. | 555 17th Street, Suite 1500, Denver, CO 80202 |
| Oklahoma Business Registrations | CORAM ALTERNATE SITE SERVICES, INC. | 1125 17th St 15th Floor, Denver, CO 80202 |
| Washington State Corporations | CORAM ALTERNATE SITE SERVICES, INC. | 1 Cvs Dr, Woonsocket, RI 02895-6146 |
| New York State Corporations | CORAM ALTERNATE SITE SERVICES, INC. | 1 Cvs Drive, Woonsocket, Ri 02895 |
| Colorado Business Entities | CORAM ALTERNATE SITE SERVICES, INC. | 1 Cvs Drive, Woonsocket, RI 02895 |
| Indiana Business Entities | CORAM ALTERNATE SITE SERVICES, INC. | 555 17th Street, Suite 1500, Denver, CO 80202 |
| Street Address |
8910 W 192ND ST STE J |
| City | MOKENA |
| State | IL |
| Zip Code | 60448-8111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093372187 | Vital Ambulance Services LLC | Ambulance | 18781 90th Ave., Suite A, Mokena, IL 60448 | 2019-05-23 |
| 1881173656 | Instarx Pharmacy LLC | Pharmacy | 18927 Hickory Creek Dr Ste 135, Mokena, IL 60448 | 2018-08-12 |
| 1124535240 | Three Point Healthcare LLC | Physical Therapist | 19807 S La Grange Rd, Mokena, IL 60448 | 2018-01-10 |
| 1831618545 | Erica Cundiff | Developmental Therapist | 10352 Aileen Ave., Mokena, ID 60448 | 2017-09-13 |
| 1346769122 | Haley Mccabe | Specialist/Technologist | 11520 Plattner Dr, Mokena, IL 60448 | 2017-09-13 |
| 1215450408 | Valley Creek Family Dental Ltd | Clinic/Center | 11244 W Laporte Rd, Mokena, IL 60448 | 2017-07-20 |
| 1477084861 | Ellen Marie Spiese | Marriage & Family Therapist | 19518 116th Ave Unit D, Mokena, IL 60448 | 2017-03-27 |
| 1851714190 | Oasis Hospice & Palliative Care, Inc. | Hospice Care, Community Based | 10010 W 190th Pl, Mokena, IL 60448 | 2014-01-22 |
| 1396167201 | Tammy S Grode | Counselor | 9200 W 191st St Ste 6, Mokena, IL 60448 | 2014-01-11 |
| 1467725119 | Easter Seals | Specialist | 10039 Cambridge Ct, Mokena, IL 60448 | 2012-02-10 |
| Find all providers in zip 60448 | ||||
| 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 | ||||
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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.