LDI IV CARE LLC (NPI# 1790967701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790967701 |
| Entity Type | Organization |
| Organization Name | LDI IV CARE LLC |
| Practice Address |
65 South 65th Street Suite 1 Belleville IL 62223-2946 |
| Mailing Address |
680 Craig Road Suite 200 St Louis MO 63141-7120 |
| Practice Telephone | 6183982720 |
| Practice Fax Number | 6183983458 |
| Mailing Telephone | 3146522121 |
| Mailing Fax Number | 3146522126 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |
| Authorized Official Name | GRANT S DINO (PRESIDENT) |
| Authorized Official Telephone | 3146522121 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | Y |
| Parent Organization Name | LEEHAR DISTRIBUTORS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| Street Address |
65 SOUTH 65TH STREET SUITE 1 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62223-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699211268 | Vip Home Health Services, LLC | Home Health | 9454 West Main Street Suite B, Belleville, IL 62223 | 2017-01-06 |
| 1659746063 | Carmel Brown | Counselor | 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 | 2015-12-10 |
| 1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
| 1982039921 | Megan Nicole Kirk | Counselor | 8601 W Main St Ste 201, Belleville, IL 62223 | 2013-09-10 |
| 1043555758 | Toni Green | Physical Therapy Assistant | 400 S 74th St, Belleville, IL 62223 | 2012-12-06 |
| 1356626949 | Christopher Patrick Gagen | Pharmacist | 5890 North Belt West, Belleville, IL 62223 | 2011-10-15 |
| 1861777690 | Carmicheal LLC | General Practice | 8601 West Main St., Ste. 101, Belleville, IL 62223 | 2011-10-12 |
| 1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
| 1053616763 | Abdurrahim M Abdulhadi | Anesthesiology | 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 | 2011-01-12 |
| 1801031695 | Jose Jesus Morales | Anesthesiology | 204 Warrensburg Drive, Belleville, IL 62223 | 2008-12-08 |
| Find all providers in zip 62223 | ||||
| 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 | BELLEVILLE |
| Zip Code | 62223 |
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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.