Healthcare Provider Details

I. General information

NPI: 1164194601
Provider Name (Legal Business Name): OPTION CARE INFUSION SUITES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2021
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 E 4500 S STE 220
MURRAY UT
84107-8524
US

IV. Provider business mailing address

3000 LAKESIDE DRIVE SUITE 300N
BANNOCKBURN IL
60015
US

V. Phone/Fax

Practice location:
  • Phone: 801-577-7055
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MEENAL SETHNA
Title or Position: PRESIDENT, CFO/TREASURER
Credential:
Phone: 303-562-8207