Healthcare Provider Details
I. General information
NPI: 1922808583
Provider Name (Legal Business Name): INFUSIONS AT HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/13/2025
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1639 W HUBBARD ST
CHICAGO IL
60622-6353
US
IV. Provider business mailing address
1639 W HUBBARD ST
CHICAGO IL
60622-6353
US
V. Phone/Fax
- Phone: 800-996-0978
- Fax:
- Phone: 800-996-0978
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336H0001X |
| Taxonomy | Home Infusion Therapy Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEVIN
MARIE
BARRETT
Title or Position: CEO
Credential:
Phone: 800-996-0978