Infusion Care of Georgia, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

INFUSION CARE OF GEORGIA, LLC

Doing business as

Vital Care of Lawrenceville

Practice address

1960 Riverside Pkwy Ste 101
Lawrenceville, GA 30043-5945

Phone

(470) 706-4262

Fax

(470) 706-4263

NPI assigned

Oct 21, 2024

Last updated

Oct 21, 2024By 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

Ami R. Patel

Title

Owner

Phone

(470) 706-4262

Specialties & licenses 6

Addresses

Other names 1

• Vital Care of Lawrenceville Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

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

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1629899919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 RIVERSIDE PKWY STE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435945",
            "telephone_number": "470-706-4262",
            "fax_number": "470-706-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 RIVERSIDE PKWY STE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435945",
            "telephone_number": "470-706-4262",
            "fax_number": "470-706-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFUSION CARE OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMI",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-706-4262"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of Lawrenceville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• In-Home Physical Therapy
• Bhuvanendram Indrakrishnan, M.D.
• Infiglow (Mobility Plus)
• Infinite Life Homecare
• Infinity Asd Services, LLC
• Tyronza Ingram-Cooper, LPC
• Taphanique Ingram
• Injoy Counseling and Consulting Services
• Innovara Pharm Axis LLC
• Inspire Psychiatry & Sleep LLC

• Home Infusion Therapy Pharmacy in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Home Infusion Therapy Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.