Healthcare Provider Details

I. General information

NPI: 1174875017
Provider Name (Legal Business Name): OPTION CARE AT LEGACY HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2012
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2275 NE DOCTORS DR SUITE 10
BEND OR
97701-6324
US

IV. Provider business mailing address

4222 PAYSPHERE CIR
CHICAGO IL
60674-0042
US

V. Phone/Fax

Practice location:
  • Phone: 541-385-3254
  • Fax: 841-385-1809
Mailing address:
  • Phone: 847-964-4848
  • Fax: 847-368-6600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MEENAL SETHNA
Title or Position: PRESIDENT & CFO
Credential:
Phone: 800-879-6137