Healthcare Provider Details

I. General information

NPI: 1881523736
Provider Name (Legal Business Name): NECTAR MOBILE IV LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 W 85TH CT
CROWN POINT IN
46307-8121
US

IV. Provider business mailing address

6901 W 85TH CT
CROWN POINT IN
46307-8121
US

V. Phone/Fax

Practice location:
  • Phone: 708-908-0686
  • Fax:
Mailing address:
  • Phone: 708-908-0686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA BEVITZ
Title or Position: CEO
Credential:
Phone: 708-908-0686