MEDICARE: ALL HOME INFUSION 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	332B00000X	Durable Medical Equipment & Medical Supplies	19651	TX
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	19651	TX
3	333600000X	Pharmacy	19651	TX
4	3336H0001X	Home Infusion Therapy Pharmacy	19651	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	750739	OTHER	TX	BCBS-TEXAS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	530629	OTHER	TX	BCBS-DME
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184622318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL HOME INFUSION INC

Provider Business Mailing Address
First Line	:	5380 OLD BULLARD RD STE 600-328
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-3607
Country	:	US
Telephone Number	:	903-825-7011
Fax Number	:	903-825-7017

Provider Business Practice Location Address
First Line	:	16541 FM 344 W
Second Line	:
City	:	BULLARD
State	:	TX
Zip	:	75757-9551
Country	:	US
Telephone Number	:	903-825-7011
Fax Number	:	903-825-7017

Authorized Official
Title or Position	:	CEO
Name	:	LAURA GEORGE
Credential	:
Telephone Number	:	903-825-7011

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	09/14/2023

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Directions to “ALL HOME INFUSION INC ” Practice Location

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