Healthcare Provider Details

I. General information

NPI: 1447268230
Provider Name (Legal Business Name): CLINICAL SPECIALTIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6288 HUDSON CROSSING PKWY
HUDSON OH
44236-4347
US

IV. Provider business mailing address

4222 PAYSPHERE CIRCLE
CHICAGO IL
60674-0042
US

V. Phone/Fax

Practice location:
  • Phone: 440-717-1700
  • Fax: 440-717-1705
Mailing address:
  • Phone: 440-717-1700
  • Fax: 440-717-1705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number02-053345005543
License Number StateOH

VIII. Authorized Official

Name: MICHAEL SHAPIRO
Title or Position: PRESIDENT & CFO
Credential:
Phone: 800-879-6137