Basic Information
| Provider Information | |||||||||
| NPI: | 1831837525 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOME INFUSION SERVICES, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15301 SPECTRUM DR STE 150 | ||||||||
| Address2: | |||||||||
| City: | ADDISON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750016461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9726612273 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3300 N A ST STE 150 | ||||||||
| Address2: | |||||||||
| City: | MIDLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 797055421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9726612273 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2022 | ||||||||
| LastUpdateDate: | 05/23/2022 | ||||||||
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| AuthorizedOfficialLastName: | ROMINE | ||||||||
| AuthorizedOfficialFirstName: | LAURIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP OF RCM AND PATIENT SERVICES | ||||||||
| AuthorizedOfficialTelephone: | 9726612273 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | HOME INFUSION SERVICES, LLC | ||||||||
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| NPICertificationDate: | 05/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3336H0001X | Y | Suppliers | Pharmacy | Home Infusion Therapy Pharmacy |
No ID Information.