Crown Point VC1, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

CROWN POINT VC1, LLC

Doing business as

Vital Care of Crown Point

Practice address

1290 Arrowhead CT Ste a
Crown Point, IN 46307-7766

Phone

(219) 295-4080

Fax

(219) 600-1800

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Neil P. MorandiNPI 1174695027

Title

Owner

Phone

(219) 295-4080

Specialties & licenses 5

Addresses

Other names 1

• Vital Care of Crown Point Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neil Patrick Morandi, MD

  • Emergency Medicine Physician
  • Royal Palm Beach, FL
  • NPI 1174695027
  NPD Authorized official

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1548009616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 ARROWHEAD CT STE A",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077766",
            "telephone_number": "219-295-4080",
            "fax_number": "219-600-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 ARROWHEAD CT STE A",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077766",
            "telephone_number": "219-295-4080",
            "fax_number": "219-600-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN POINT VC1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "MORANDI",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-295-4080"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of Crown Point",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Care of Crown Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Crownpoint Pharmacy RX LLC
• Mark Oliver Magno Cruz, PTR
• Tracey K. Cruz
• Robert G Crytzer, LCSW
• Laurentia Cuddihy

• Home Infusion Therapy Pharmacy in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Home Infusion Therapy Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.