Organization Active NPI

Profusion, LLC

  • Home Infusion Agency
  • Austin, TX
National Provider Identifier
1790294668
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
31917 Issued in TX
Legal business name
PROFUSION, LLC
Practice address
3200 Steck Ave Ste 330
Austin, TX 78757-8034
Phone
(512) 371-7020
NPI assigned
Sep 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Damon Faught
Title
Member
Phone
(512) 734-1118

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X 31917 TX Primary
Home Infusion Therapy Pharmacy 3336H0001X 31917 TX

Addresses

Primary practice location

3200 Steck Ave Ste 330
Austin, TX 78757-8034

Mailing address

3200 Steck Ave Ste 330
Austin, TX 78757-8034
Phone (512) 371-7020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1790294668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 STECK AVE STE 330",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578034",
            "telephone_number": "512-371-7020",
            "fax_number": "512-371-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 STECK AVE STE 330",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578034",
            "telephone_number": "512-371-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFUSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-23",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "FAUGHT",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "512-734-1118"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "TX",
            "license": "31917",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TX",
            "license": "31917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.