Mahoning Valley Infusioncare, Inc

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

License

02 0834650 Issued in OH

Legal business name

MAHONING VALLEY INFUSIONCARE, INC

Practice address

4891 Belmont Ave
Youngstown, OH 44505-1015

Phone

(330) 759-9487

Fax

(330) 759-9564

NPI assigned

Dec 5, 2005

Organization subpart

No

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

Authorized official

Name

Kevin McGuire

Title

Principal

Phone

(330) 759-9487

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1831173772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4891 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051015",
            "telephone_number": "330-759-9487",
            "fax_number": "330-759-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4891 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051015",
            "telephone_number": "330-759-9487",
            "fax_number": "330-759-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHONING VALLEY INFUSIONCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "330-759-9487"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "OH",
            "license": "02 0834650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134394",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Infusion Agency in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Home Infusion Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.