Coram Alternate Site Services, Inc.

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

CORAM ALTERNATE SITE SERVICES, INC.

Practice address

4915 Contec Dr
Lansing, MI 48910-7101

Phone

(517) 394-0106

Fax

(517) 394-0109

NPI assigned

Jul 2, 2006

Organization subpart

Yes

Parent organization

CORAM ALTERNATE SITE SERVICES, INC.As reported in NPPES

Name

Tricia L Lacavich

Title

President

Phone

(318) 407-1785

Tax ID family

Coram Alternate Site Services Inc2 organizations share this tax ID, including this one

Part of

Coram Healthcare

Other organizations with this tax ID 1

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

• Coram Healthcare Corporation of Michigan

  • Specialty Pharmacy
  • Denver, CO
  • NPI 1194862359
  NPD tax ID

Locations

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2022.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1750310587",
    "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": "724-873-7720",
            "fax_number": "949-639-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 CONTEC DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489107101",
            "telephone_number": "517-394-0106",
            "fax_number": "517-394-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM ALTERNATE SITE SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORAM ALTERNATE SITE SERVICES, INC.",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "LACAVICH",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-407-1785"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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"
        }
    ]
}

• Tina Cooper
• Tyler Samuel Cooper
• Alyssa Copeland, CCC-SLP
• Javonnia Copeland, NP
• Samantha Coppola
• Madeline Hulse Corbett, MD
• Pamela Corden, DPT
• Elizabeth Corder
• Jerome F. Cordes, M.D.
• Core Health Solutions, P. C.

• All providers in Lansing, MI
• Infusion Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.