MEDICARE: OPTION CARE ENTERPRISES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	7140	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124290747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTION CARE ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	2769 PAYSPHERE CIR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-0027
Country	:	US
Telephone Number	:	800-879-6137
Fax Number	:

Provider Business Practice Location Address
First Line	:	3401 S MERIDIAN AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73119-2415
Country	:	US
Telephone Number	:	405-789-1600
Fax Number	:	405-440-9836

Authorized Official
Title or Position	:	PRESIDENT & CFO
Name	:	MICHAEL SHAPIRO
Credential	:
Telephone Number	:	800-879-6137

Provider Enumeration Date	:	03/25/2008
Last Update Date	:	04/14/2022

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