Organization
PROMPTCARE HOME INFUSION LLC
Active
Other names
PROMPT CARE HOME INFUSION LLC, PromptCare Companies
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN A LARIVIERE (CHIEF COMPLIANCE OFFICER)
(866) 776-6782
Entity
Organization
Contact information
Practice address
51 E BETHPAGE RD STE 200B, PLAINVIEW, NY 11803-4224
(631) 454-4560
(631) 454-4553
Mailing address
51 BETHPAGE RD STE 200B, PLAINVIEW, NY 11803-4224
(631) 454-4560
(631) 454-4553
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
028069
NY
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2068698
PK
—
05
—
2885578
—
NY
Enumeration date
12/06/2006
Last updated
08/09/2024
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