MEDICARE: PROMPTCARE HOME INFUSION, 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	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	28RS00545700	NJ
2	3336C0003X	Community/Retail Pharmacy
3	3336C0004X	Compounding Pharmacy	28RS00545700	NJ
4	3336M0002X	Mail Order Pharmacy
5	3336S0011X	Specialty Pharmacy	28RS00545700	NJ
6	3336H0001X	Home Infusion Therapy Pharmacy	28RS00545700	NJ

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477647337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROMPTCARE HOME INFUSION, LLC

Provider Business Mailing Address
First Line	:	41 SPRING ST STE 103B
Second Line	:
City	:	NEW PROVIDENCE
State	:	NJ
Zip	:	07974-1143
Country	:	US
Telephone Number	:	866-526-1297
Fax Number	:	855-454-4553

Provider Business Practice Location Address
First Line	:	41 SPRING ST STE 103B
Second Line	:
City	:	NEW PROVIDENCE
State	:	NJ
Zip	:	07974-1143
Country	:	US
Telephone Number	:	866-526-1297
Fax Number	:	855-454-4553

Authorized Official
Title or Position	:	CHIEF COMPLIANCE OFFICER
Name	:	STEPHEN A LARIVIERE
Credential	:
Telephone Number	:	866-776-6782

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	08/21/2024

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1083615991 — THE PROMPTCARE COMPANIES, INC.
Practice Location Address:

41 SPRING ST STE 103A
NEW PROVIDENCE, NJ
07974-1143

Practice Phone: 732-815-0222
Practice Fax: 866-466-6435

1386126118 — MRS. PANAGIOTA KOUSOULIS RPH
Practice Location Address:

41 SPRING ST
NEW PROVIDENCE, NJ
07974-1143

Practice Phone: 732-692-2784
Practice Fax: 800-815-6808

1316585532 — CAPSULE NEW JERSEY LLC
Practice Location Address:

41 SPRING ST STE 105
NEW PROVIDENCE, NJ
07974-1143

Practice Phone: 201-380-7700
Practice Fax: 646-934-6409

1932727898 — MATTHEW DAVID ROESCH RPH
Practice Location Address:

41 SPRING ST STE 105
NEW PROVIDENCE, NJ
07974-1143

Practice Phone: 201-380-7700
Practice Fax:

1598378473 — JACQULYNE INMAN RPH, PHARMD
Practice Location Address:

41 SPRING ST STE 105
NEW PROVIDENCE, NJ
07974-1143

Practice Phone: 201-380-7700
Practice Fax:

Directions to “PROMPTCARE HOME INFUSION, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.