Active NPI
Coram Healthcare Corporation of Michigan
- Specialty Pharmacy
- Denver, CO
National Provider Identifier
1194862359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- CORAM HEALTHCARE CORPORATION OF MICHIGAN
- Practice address
- 1675 Broadway
Suite 900
Denver, CO 80202-4675 - Phone
- (303) 672-8631
- Fax
- (303) 298-0047
- NPI assigned
- Jan 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vito Ponzio Jr.
- Title
- Sr VP
- Phone
- (303) 672-8631
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Home Infusion Agency | 251F00000X | |||
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Pharmacy | 333600000X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Mail Order Pharmacy | 3336M0002X | |||
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
1675 Broadway
Suite 900
Denver, CO 80202-4675
Mailing address
1675 Broadway
Suite 900
Denver, CO 80202-4675
Phone (303) 672-8631
National Provider Directory
National Provider Directory- Tax ID family
- Coram Alternate Site Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Infusion Therapy Clinic/Center
- Lansing, MI
- NPI 1750310587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1194862359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 BROADWAY",
"address_2": "SUITE 900",
"city": "DENVER",
"state": "CO",
"postal_code": "802024675",
"telephone_number": "303-672-8631",
"fax_number": "303-298-0047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 BROADWAY",
"address_2": "SUITE 900",
"city": "DENVER",
"state": "CO",
"postal_code": "802024675",
"telephone_number": "303-672-8631",
"fax_number": "303-298-0047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORAM HEALTHCARE CORPORATION OF MICHIGAN",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "PONZIO",
"authorized_official_first_name": "VITO",
"authorized_official_title_or_position": "SR VP",
"authorized_official_telephone_number": "303-672-8631",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
- Coram Healthcare Corporation of Greater D.C.
- Coram Healthcare Corporation of Greater New York
- Coram Healthcare Corporation of Indiana
- Coram Healthcare Corporation of Kentucky
- Coram Healthcare Corporation of Massachusetts
- Coram Healthcare Corporation of Mississippi
- Coram Healthcare Corporation of Nevada
- Coram Healthcare Corporation of New York
- Coram Healthcare Corporation of North Texas
- Coram Healthcare Corporation of Northern California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.