NPIMap

Organization Active NPI

Coram Healthcare Corporation of North Texas

Doing business as Coram CVS/specialty Infusion Services

  • Infusion Therapy Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1902208879
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
CORAM HEALTHCARE CORPORATION OF NORTH TEXAS
Doing business as
Coram CVS/specialty Infusion Services
Practice address
6000 Bryant Irvin Rd
Fort Worth, TX 76132-4116
Phone
(214) 902-3600
NPI assigned
Sep 22, 2014
Last updated
Sep 22, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CORAM HEALTHCARE CORPORATION OF NORTH TEXASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Michael E Dell
Title
Sr VP, GC, Sec and Director
Phone
(303) 672-8631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

6000 Bryant Irvin Rd
Fort Worth, TX 76132-4116

Mailing address

555 17TH St
Suite 1500
Denver, CO 80202-3950
Phone (303) 672-8631

Other names 1

  • Coram CVS/specialty Infusion Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coram Healthcare Corporation of North Texas2 organizations share this tax ID, including this one
Part of
Coram Healthcare Corporation of North Texas

Other organizations with this tax ID 1

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": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1902208879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 17TH ST",
            "address_2": "SUITE 1500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802023950",
            "telephone_number": "303-672-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BRYANT IRVIN RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324116",
            "telephone_number": "214-902-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM HEALTHCARE CORPORATION OF NORTH TEXAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORAM HEALTHCARE CORPORATION OF NORTH TEXAS",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "DELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SR VP, GC, SEC AND DIRECTOR",
        "authorized_official_telephone_number": "303-672-8631"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coram CVS/specialty Infusion Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.