Coram Healthcare Corporation of Greater New York

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

License

9836L002 Issued in NY

Legal business name

CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK

Doing business as

Coram Specialty Infusion Services, an Apria Healthcare Company

Practice address

300 Enterprise Dr Ste 506
Kingston, NY 12401-7004

Phone

(845) 336-5323

NPI assigned

Dec 30, 2011

Last updated

Sep 1, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

CORAM HEALTHCARE CORPORATION OF GREATER NEW YORKAs reported in NPPES

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

Authorized official

Name

Jody L Kepler

Title

President

Phone

(303) 672-8631

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Coram Specialty Infusion Services, an Apria Healthcare Company Doing business as

Electronic endpoints 1

Tax ID family

Coram Healthcare Corporation of Greater New York5 organizations share this tax ID, including this one

Part of

Coram Healthcare Corporation of Greater New York

Other organizations with this tax ID 4

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

• Coram Healthcare Corporation of Greater New York

  dba Coram CVS/specialty Infusion Services

  • Home Infusion Agency
  • Long Island, NY
  • NPI 1063424216
  NPD tax ID
• Coram Healthcare Corporation of Greater New York

  dba Coram CVS/specialty Infusion Services

  • Home Health Agency
  • Rochester, NY
  • NPI 1427394915
  NPD tax ID
• Coram Healthcare Corporation of Greater New York

  dba Coram CVS/specialty Infusion Services

  • Home Infusion Agency
  • Albany, NY
  • NPI 1912523663
  NPD tax ID
• Coram Healthcare Corporation of Greater New York

  • Specialty Pharmacy
  • Denver, CO
  • NPI 1710033923
  NPD tax ID

Locations

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1508136060",
    "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": "303-672-8631",
            "fax_number": "303-298-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ENTERPRISE DR STE 506",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124017004",
            "telephone_number": "845-336-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK",
        "enumeration_date": "2011-12-30",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "KEPLER",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-672-8631"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9836L002",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NY",
            "license": "9836L002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY",
            "identifier": "1683L006",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Coram Specialty Infusion Services, an Apria Healthcare Company",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coram Specialty Infusion Services, an Apria Healthcare Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Estelle Conte
• Peter Contrady, ATC
• Andrea Cooney, LCSW
• Kezia Cooper, LCSW-R
• Marie Carmelle Coq
• Massa Corneh
• Christine Lynn Corrado
• Joseph Corrado, RN
• Shanae Correa
• Summer Corrie, LMT

• Home Infusion Agency in Kingston, NY
• Providers in Kingston, NY by specialty
• Home Infusion Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.