NPIMap

Organization Active NPI

Promptcare Home Infusion, LLC

  • Home Infusion Therapy Pharmacy
  • Hattiesburg, MS
National Provider Identifier
1831934348
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
PROMPTCARE HOME INFUSION, LLC
Doing business as
Coastal Infusion Services
Practice address
108 Lundy LN Ste 120
Hattiesburg, MS 39401-6601
Phone
(601) 910-7279
NPI assigned
Jun 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Stephen A Lariviere
Title
Chief Compliance Officer
Phone
(866) 776-6782

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

108 Lundy LN Ste 120
Hattiesburg, MS 39401-6601

Mailing address

41 Spring St Ste 103B
New Providence, NJ 07974-1143
Phone (866) 776-6782

Other names 2

  • Coastal Infusion Services Doing business as
  • PromptCare Companies, Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250303000043 MS DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 0345443339 Practice locations: Hattiesburg, MS
O20260410000672 MS Part B Supplier - Pharmacy 0345443339 Practice locations: Hattiesburg, MS

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Promptcare Home Infusion, LLC108 Lundy LN, Hattiesburg, MS 39401-6601(601) 910-7279 Infusion Drugs|Nebulizer Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 2018

National Provider Directory

National Provider Directory
Tax ID family
Promptcare Home Infusion LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1831934348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SPRING ST STE 103B",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741143",
            "telephone_number": "866-776-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LUNDY LN STE 120",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394016601",
            "telephone_number": "601-910-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMPTCARE HOME INFUSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "LARIVIERE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "866-776-6782"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Infusion Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PromptCare Companies, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.