=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881081818
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOME INFUSION SERVICES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/16/2015
-----------------------------------------------------
Last Update Date | 04/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15301 SPECTRUM DR. STE 150
-----------------------------------------------------
City | ADDISON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-661-2273
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15301 SPECTRUM DR STE 150
-----------------------------------------------------
City | ADDISON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75001-6461
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-661-2273
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF REVENUE CYCLE
-----------------------------------------------------
Name | MAUREEN CRAVEN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 972-661-2273
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336H0001X
-----------------------------------------------------
Taxonomy Name | Home Infusion Therapy Pharmacy
-----------------------------------------------------
License Number | 29910
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------