Organization · Type 2 NPI

Coram Healthcare Corporation of Greater New York

Home Infusion Agency · Kingston, NY

NPI number 1508136060 Active

Practice location

300 Enterprise Dr Ste 506
Kingston, NY 12401-7004

Call (845) 336-5323 Map

Mailing address

PO Box 809160
Chicago, IL 60680-9160

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	9836L002 (NY)
Home Infusion Agency Primary	251F00000X	9836L002 (NY)

Home Infusion Agency: Definition to come...

NPI record

NPI: 1508136060
Entity type: Organization (Type 2)
Issued: Dec 30, 2011
Last updated: Sep 1, 2022
Status: Active
Subpart: Yes of Coram Healthcare Corporation of Greater New York

Other names

<unavail>
Coram Specialty Infusion Services, An Apria Healthcare Company · doing business as
Coram Specialty Infusion Services, An Apria Healthcare Company · doing business as

Authorized official

Jody L Kepler
President
(303) 672-8631

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508136060

Coram Healthcare Corporation of Greater New York's National Provider Identifier is 1508136060, issued on Dec 30, 2011. The primary taxonomy on file is Home Infusion Agency (251F00000X), and the practice location is in Kingston, NY. The record was last updated on Sep 1, 2022.