Organization
CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK
Active
Parent organization
CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK
Other names
Coram Specialty Infusion Services, an Apria Healthcare Company
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK
Authorized official
JODY L KEPLER (PRESIDENT)
(303) 672-8631
Entity
Organization
Contact information
Practice address
300 ENTERPRISE DR STE 506, KINGSTON, NY 12401-7004
(845) 336-5323
Mailing address
PO BOX 809160, CHICAGO, IL 60680-9160
(303) 672-8631
(303) 298-0047
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
9836L002
NY
251F00000X
Home Infusion Agency
Primary
9836L002
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1683L006
HOME HEALTH AGENCY
NY
Enumeration date
12/30/2011
Last updated
09/01/2022
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