Coram Alternate Site Services, Inc.
Organization Active NPI Home Health Agency · Fort Myers, FL
NPI 1780004564 · NPPES record last updated Oct 21, 2022
Key facts
- NPI
- 1780004564
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CORAM ALTERNATE SITE SERVICES, INC.
- Practice address
- 13813 Metro Pkwy
Fort Myers, FL 33912-4343 - Phone
- (813) 639-4500
- NPI assigned
- Apr 21, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- CORAM ALTERNATE SITE SERVICES, INC.
Authorized official
- Name
- Tricia L Lacavich
- Title
- President
- Phone
- (318) 407-1785
Corporate family (same tax ID) 26
National Provider Directory
- Tax ID family
- Coram Healthcare
- Part of
- Coram Healthcare
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes | ||
| Infusion Therapy Clinic/Center | 261QI0500X |
Addresses
Primary practice location
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Mailing address
555 17TH St
Suite 1500
Denver, CO 80202-3950
Phone (303) 672-8631
Other names
- Coram CVS/specialty Infusion Services
Other providers in Fort Myers, FL
- Lisa Corado
- Coral Care Rides LLC
- Coral Dental and Denture PA
- Coral House Assisted Living Community, LLC
- Coral Medical Center LLC
- Jean Corbae
- Michael A Corbellini
- Corbett Family Medical Center PLC
- Traci Ann Corby
- Jennifer Christine Cordeiro
All providers in Fort Myers, FL · Home Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.