National Provider Identifier Database

CORAM ALTERNATE SITE SERVICES INC
Home Infusion


Contact Information

CORAM ALTERNATE SITE SERVICES, INC.
2022 GLENN PARK DR
CHAMPAIGN, IL61821-2405
Phone: 217-356-7900
Fax:
Website:
Specialty Taxonomy Code
* Home Infusion 251F00000X
Home Health 251E00000X
Infusion Therapy 163WI0500X
Nursing Care 251J00000X

* Indicates primary specialty

NPI Profile & details for CORAM ALTERNATE SITE SERVICES, INC.

NPI Number 1114511490
Legal business name
LBN
CORAM ALTERNATE SITE SERVICES, INC.
Authorized official TRICIA LACAVICH - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/26/2021
Last updated 10/19/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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