Healthcare Provider Details

I. General information

NPI: 1689181687
Provider Name (Legal Business Name): BIOSCRIP NURSING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2017
Last Update Date: 12/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118-35 QUEENS BOULEVARD, SUITE 406
FOREST HILLS NY
11375-7200
US

IV. Provider business mailing address

1600 BROADWAY STE 700
DENVER CO
80202-4967
US

V. Phone/Fax

Practice location:
  • Phone: 718-425-4140
  • Fax:
Mailing address:
  • Phone: 720-697-5171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN STALMACK
Title or Position: SR VP, GC AND SECRETARY
Credential:
Phone: 720-697-5171