Organization
CORAM HEALTHCARE/CAROLINA HOME THERAPEUTICS
Active
Organization
CORAM HEALTHCARE/CAROLINA HOME THERAPEUTICS
Active
Parent organization
CORAM HEALTHCARE/CAROLINA HOME THERAPEUTICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORAM HEALTHCARE/CAROLINA HOME THERAPEUTICS
Authorized official
ASHELY MARIE CZONSTKOWSKY (DIRECTOR)
(814) 935-1390
Entity
Organization
Contact information
Practice address
720 GRACERN RD, SUITE 123, COLUMBIA, SC 29210-7655
(803) 731-5076
(803) 731-4979
Mailing address
PO BOX 646666, CINCINNATI, OH 45264-6666
(480) 765-5043
(401) 733-2011
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
50-004889
SC
333600000X
Pharmacy
50-004889
SC
3336C0003X
Community/Retail Pharmacy
50-004889
SC
3336H0001X
Home Infusion Therapy Pharmacy
Primary
50-004889
SC
3336M0002X
Mail Order Pharmacy
50-004889
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-04889
RX LICENSE
SC
01
—
4219362
NCPDP
—
Enumeration date
08/13/2006
Last updated
07/22/2026
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