Boetheia Infusion & Healthcare, LLC

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

BOETHEIA INFUSION & HEALTHCARE, LLC

Practice address

673 Kingsley Ave Ste D
Orange Park, FL 32073-5480

Phone

(904) 579-4372

NPI assigned

Nov 30, 2021

Last updated

Nov 30, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erica Wimberly

Title

Alternate Administrator

Phone

(904) 445-8402

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1023776739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 KINGSLEY AVE STE D",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 KINGSLEY AVE STE D",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735480",
            "telephone_number": "904-579-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOETHEIA INFUSION & HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "WIMBERLY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "904-445-8402"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bob Hutchinson PA
• Bob McQueen, LMHC
• Jorg A Bober, DPM
• Alison Lynn Boden, PA-C
• Bodywerks LLC
• Boger Enterprises Inc (Bogers Shoes Inc)
• Patricia Ann Boger, PH.D.
• Dayn Corot Boitet, DDS
• Kelvin Lamont Bolar
• Joann Emmanuel Bolton, M.D.

• Home Infusion Agency in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Home Infusion Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.