NPIMap

Organization Active NPI

Coram Alternate Site Services, Inc.

  • Home Infusion Therapy Pharmacy
  • Nashville, TN
National Provider Identifier
1033218615
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
0000002879 Issued in TN
Legal business name
CORAM ALTERNATE SITE SERVICES, INC.
Practice address
618 Grassmere Park
Suite 7
Nashville, TN 37211-3643
Phone
(615) 832-9366
Fax
(615) 832-9069
NPI assigned
Sep 21, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CORAM ALTERNATE SITE SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Tricia Lacavich
Title
President
Phone
(314) 306-3255

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0000002879 TN
Home Infusion Agency 251F00000X 0000002879 TN
Infusion Therapy Clinic/Center 261QI0500X 0000002879 TN
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 0000002879 TN
Pharmacy 333600000X 0000002879 TN
Community/Retail Pharmacy 3336C0003X 0000002879 TN
Home Infusion Therapy Pharmacy 3336H0001X 0000002879 TN Primary
Mail Order Pharmacy 3336M0002X 0000002879 TN

Addresses

Primary practice location

618 Grassmere Park
Suite 7
Nashville, TN 37211-3643

Mailing address

PO Box 809160
Chicago, IL 60680-9160
Phone (480) 765-5043

Other identifiers 4

IdentifierTypeStateIssuer
0000002879OtherTNRX LICENSE
1452066MedicaidTN
4429608OtherNCPDP
90262890MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Curaflex Infusion SVC27 organizations share this tax ID, including this one
Part of
Curaflex Infusion SVC

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

618 Grassmere Park
Ste 7
Nashville, TN 37211
Phone (615) 832-9366

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1033218615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809160",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606809160",
            "telephone_number": "480-765-5043",
            "fax_number": "401-799-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 GRASSMERE PARK",
            "address_2": "SUITE 7",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113643",
            "telephone_number": "615-832-9366",
            "fax_number": "615-832-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM ALTERNATE SITE SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORAM ALTERNATE SITE SERVICES, INC.",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-03-07",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "LACAVICH",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-306-3255"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000002879",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "TN",
            "license": "0000002879",
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "TN",
            "license": "0000002879",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TN",
            "license": "0000002879",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "0000002879",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000002879",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TN",
            "license": "0000002879",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "TN",
            "license": "0000002879",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX LICENSE",
            "identifier": "0000002879",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452066",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4429608",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90262890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.