Advantage Infusion Group, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADVANTAGE INFUSION GROUP, LLC

Doing business as

Advantage Infusion Group

Practice address

503 Airport North Office Park
Fort Wayne, IN 46825-6705

Phone

(260) 348-0793

NPI assigned

May 14, 2012

Last updated

May 14, 2012By 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

Theresa K Masanz, RN

Title

Administrator

Phone

(260) 348-0793

Specialties & licenses 1

Addresses

Other names 1

• Advantage Infusion Group Doing business as

Locations

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1508125345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 AIRPORT NORTH OFFICE PARK",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468256705",
            "telephone_number": "260-348-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 AIRPORT NORTH OFFICE PARK",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468256705",
            "telephone_number": "260-348-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE INFUSION GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "MASANZ",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "260-348-0793",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Infusion Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.