Healthcare Provider Details

I. General information

NPI: 1033710355
Provider Name (Legal Business Name): OPTION CARE ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2020
Last Update Date: 04/13/2022
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4380 13TH ST
ASHLAND KY
41102-5432
US

IV. Provider business mailing address

3000 LAKESIDE DR STE 300N
BANNOCKBURN IL
60015-5405
US

V. Phone/Fax

Practice location:
  • Phone: 866-324-4427
  • Fax:
Mailing address:
  • Phone: 312-940-2510
  • 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: MICHAEL SHAPIRO
Title or Position: PRESIDENT & CFO
Credential:
Phone: 800-879-6137