MEDICARE: CRITICAL CARE SYSTEMS, 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	251F00000X	Home Infusion Agency
2	332B00000X	Durable Medical Equipment & Medical Supplies	0657P	NH
3	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	0657P	NH
4	333600000X	Pharmacy	0657P	NH
5	3336C0003X	Community/Retail Pharmacy	0657P	NH
6	3336H0001X	Home Infusion Therapy Pharmacy	0657P	NH

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	:	1578561478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRITICAL CARE SYSTEMS, LLC

Provider Business Mailing Address
First Line	:	1921 PAYSPHERE CIRCLE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-0019
Country	:	US
Telephone Number	:	800-879-6137
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 COMMERCE PARK N
Second Line	:	UNIT 4
City	:	BEDFORD
State	:	NH
Zip	:	03110-6905
Country	:	US
Telephone Number	:	603-625-8880
Fax Number	:	603-625-8881

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	08/26/2024

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Directions to “CRITICAL CARE SYSTEMS, LLC ” Practice Location

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