Healthcare Provider Details

I. General information

NPI: 1043213093
Provider Name (Legal Business Name): HOME I V SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S MAIN ST
JONESBORO AR
72401
US

IV. Provider business mailing address

4222 PAYSPHERE CIR
CHICAGO IL
60674-0042
US

V. Phone/Fax

Practice location:
  • Phone: 870-972-1677
  • Fax: 870-972-1911
Mailing address:
  • Phone: 870-972-1677
  • Fax: 870-972-1911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberAR19641
License Number StateAR
# 6
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MEENAL SETHNA
Title or Position: PRESIDENT & CFO
Credential:
Phone: 800-879-6137