Organization
CORAM HEALTHCARE CORPORATION OF GREATER DC
Active
Parent organization
CORAM HEALTHCARE CORPORATION OF GREATER D.C.
Other names
Coram CVS/specialty Infusion Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORAM HEALTHCARE CORPORATION OF GREATER D.C.
Authorized official
TRICIA LACAVICH (PRESIDENT)
(314) 306-3255
Entity
Organization
Contact information
Practice address
3190 FAIRVIEW PARK DR, FALLS CHURCH, VA 22042-4530
(443) 669-8675
(703) 631-6738
Mailing address
PO BOX 809160, CHICAGO, IL 60680-9160
(480) 765-5043
(401) 733-0211
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HCO-176
VA
251F00000X
Home Infusion Agency
Primary
HCO-176
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201002670
RX LICENSE
VA
01
—
4829846
NCPDP
—
Enumeration date
09/21/2006
Last updated
03/07/2023
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