Active NPI
Infusion Resource, LLC
Doing business as Care Resource
- Parenteral & Enteral Nutrition Supplies (DME)
- N Dartmouth, MA
National Provider Identifier
1881923738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- Legal business name
- INFUSION RESOURCE, LLC
- Doing business as
- Care Resource
- Practice address
- 74 Faunce Corner Road
Suite #610
N. Dartmouth, MA 02747 - Phone
- (774) 992-7068
- Fax
- (774) 992-7069
- NPI assigned
- Dec 23, 2009
- Last updated
- Apr 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marian Marcoccio
- Title
- VP Operations
- Phone
- (774) 992-7068
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | MA | Primary |
Addresses
Primary practice location
74 Faunce Corner Road
Suite #610
N. Dartmouth, MA 02747
Mailing address
74 Faunce Corner Road
Suite #610
N. Dartmouth, MA 02747
Phone (774) 992-7068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110084396B | Medicaid | MA |
Other names 1
- Care Resource
National Provider Directory
National Provider DirectoryLocations
74 Faunce Corner Rd
#610
North Dartmouth, MA 02747
Phone (508) 965-1309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429833600000",
"number": "1881923738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 FAUNCE CORNER ROAD",
"address_2": "SUITE #610",
"city": "N. DARTMOUTH",
"state": "MA",
"postal_code": "02747",
"telephone_number": "774-992-7068",
"fax_number": "774-992-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 FAUNCE CORNER ROAD",
"address_2": "SUITE #610",
"city": "N. DARTMOUTH",
"state": "MA",
"postal_code": "02747",
"telephone_number": "774-992-7068",
"fax_number": "774-992-7069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFUSION RESOURCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-23",
"last_updated": "2015-04-24",
"status": "A",
"authorized_official_last_name": "MARCOCCIO",
"authorized_official_first_name": "MARIAN",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "774-992-7068"
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110084396B",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Care Resource",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in N Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.