CORAM CVS/SPECIALTY INFUSION SERVICES – NPI #1780004564
Home Health

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CORAM CVS/SPECIALTY INFUSION SERVICES is a home health agency located in FORT MYERS, FL. NPPES has assigned the NPI number 1780004564 to CORAM CVS/SPECIALTY INFUSION SERVICES on April 21, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CORAM CVS/SPECIALTY INFUSION SERVICES” is a dba name, the actual legal business name for this organization is CORAM ALTERNATE SITE SERVICES, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 251E00000X from the Health Care Provider Taxonomy code set, which is classified as Home Health.

The NPI profile was previously updated about 4 years ago on Oct 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORAM CVS/SPECIALTY INFUSION SERVICES below.

NPI Profile for
CORAM ALTERNATE SITE SERVICES, INC.

NPI Number
1780004564
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CORAM ALTERNATE SITE SERVICES, INC.
Doing Business As (dba): CORAM CVS/SPECIALTY INFUSION SERVICES
Primary location
13813 METRO PKWY
FORT MYERS, FL 33912-4343
Phone: (813) 639-4500 Fax:
Mailing address
555 17TH ST
SUITE 1500
DENVER, CO 80202-3950
Phone: (303) 672-8631 Fax: (303) 298-0047
Organization Subpart
Yes - CORAM CVS/SPECIALTY INFUSION SERVICES is subpart of another organization.
Authorized Official
TRICIA LACAVICH
PRESIDENT
Phone: (318) 407-1785
Updated
Certification Date
Oct 21, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
251E00000X
- Home Health (Primary)
261QI0500X
- Clinic/Center / Infusion Therapy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.