Rciv, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

RCIV, LLC

Doing business as

Vital Care of Chattanooga

Practice address

1200 Mountain Creek Rd Ste 440
Chattanooga, TN 37405-6101

Phone

(423) 206-9840

Fax

(423) 206-9841

NPI assigned

Mar 7, 2022

Last updated

Mar 7, 2022By 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

Corey Bush

Title

Member

Phone

(423) 206-9840

Specialties & licenses 4

Addresses

Other names 1

• Vital Care of Chattanooga Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Blake Young, PHARM.D., MBA

  • Pharmacist
  • Chattanooga, TN
  • NPI 1639521644
  NPD

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1285381558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MOUNTAIN CREEK RD STE 440",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374056101",
            "telephone_number": "423-206-9840",
            "fax_number": "423-206-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MOUNTAIN CREEK RD STE 440",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374056101",
            "telephone_number": "423-206-9840",
            "fax_number": "423-206-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCIV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "423-206-9840"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of Chattanooga",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Rayburn, LMFT, LPC-MHSP, NCC
• Philip Robert Rayers, M.D.
• Monica L Raymer, P.A.
• Thomas Allen Raymer
• Raymond Group Inc (Engage Physical Therapy and Performance)
• Laura Ashworth Reagan, MS, RD,CDE
• Tiffaney Renee Reagan, R.N.
• Michael Douglas Reardon, D.M.D.
• Justin Eugene Reason, APRN
• Zoe Smalley Reasons, MD

• Home Infusion Therapy Pharmacy in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Home Infusion Therapy Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.