Healthcare Provider Details

I. General information

NPI: 1184708836
Provider Name (Legal Business Name): IV CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 S 65TH ST STE 1
BELLEVILLE IL
62223-2946
US

IV. Provider business mailing address

PO BOX 930999
ATLANTA GA
31193-0999
US

V. Phone/Fax

Practice location:
  • Phone: 618-398-8069
  • Fax: 618-398-8072
Mailing address:
  • Phone: 618-398-2720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: EDWARD P KRAMM
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 913-515-6719