NPIMap

Organization Active NPI

Coram Alternate Site Services, Inc.

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

  • Home Health Agency
  • Maitland, FL
National Provider Identifier
1861760233
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CORAM ALTERNATE SITE SERVICES, INC.
Doing business as
Coram Specialty Infusion Services, an Apria Healthcare Company
Practice address
555 Winderley PL Ste 300
Maitland, FL 32751-7133
Phone
(407) 571-6834
NPI assigned
Dec 13, 2011
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CORAM ALTERNATE SITE SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Tricia Lacavich
Title
President
Phone
(314) 306-3255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Home Infusion Agency 251F00000X NU

Addresses

Primary practice location

555 Winderley PL Ste 300
Maitland, FL 32751-7133

Mailing address

PO Box 809160
Chicago, IL 60680-9160
Phone (480) 765-5043

Other names 1

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

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

National Provider Directory

National Provider Directory
Tax ID family
Curaflex Infusion SVC27 organizations share this tax ID, including this one
Part of
Curaflex Infusion SVC

Other organizations with this tax ID 26

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

View all 26

Locations

555 Winderley Pl
Ste 300
Maitland, FL 32751
Phone (407) 339-7717

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1861760233",
    "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": "480-765-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WINDERLEY PL STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517133",
            "telephone_number": "407-571-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM ALTERNATE SITE SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORAM ALTERNATE SITE SERVICES, INC.",
        "enumeration_date": "2011-12-13",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "LACAVICH",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-306-3255"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY  Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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"
        }
    ]
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.