MEDICARE: INFUSION THERAPY OF NEVADA LLC

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	363L00000X	Nurse Practitioner
2	2086S0102X	Surgical Critical Care Physician

General Provider Information

NPI Number	:	1306715024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFUSION THERAPY OF NEVADA LLC

Provider Business Mailing Address
First Line	:	PO BOX 211624
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30917-1624
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2990 W HORIZON RIDGE PKWY STE 100
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4663
Country	:	US
Telephone Number	:	508-944-3424
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TAYLAN BOZKURT
Credential	:
Telephone Number	:	508-944-3424

Provider Enumeration Date	:	10/31/2025
Last Update Date	:	01/13/2026

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