Organization
EXCEL HEALTH CARE, INC.
Active
Other names
Option Care of Northern Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BONACCORSI JD (SR VP, SECRETARY & GENERAL COUNSEL)
(847) 229-7794
Entity
Organization
Contact information
Practice address
4170 LAFAYETTE CENTER DR, SUITE 300, CHANTILLY, VA 20151-1254
(703) 471-8200
(703) 471-8205
Mailing address
1910 PAYSPHERE CIR, CHICAGO, IL 60674-0019
(800) 879-6137
(847) 913-9024
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
0201003388
VA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0201003388
VA
3336H0001X
Home Infusion Therapy Pharmacy
Primary
0201003388
VA
3336S0011X
Specialty Pharmacy
0201003388
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8508879
—
VA
05
—
9114637
—
VA
Enumeration date
06/04/2006
Last updated
01/19/2009
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