MEDICARE: CASCO BAY INFUSION, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251F00000X	Home Infusion Agency
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
4	333600000X	Pharmacy
5	3336C0004X	Compounding Pharmacy
6	3336H0001X	Home Infusion Therapy Pharmacy

General Provider Information

NPI Number	:	1609759026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASCO BAY INFUSION, LLC

Provider Business Mailing Address
First Line	:	10 DONALD B DEAN DR STE 3
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-3372
Country	:	US
Telephone Number	:	207-910-0771
Fax Number	:	207-910-0772

Provider Business Practice Location Address
First Line	:	10 DONALD B DEAN DR STE 3
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-3372
Country	:	US
Telephone Number	:	207-910-0771
Fax Number	:	207-910-0772

Authorized Official
Title or Position	:	OWNER
Name	:	NIK LAWRENCE PEREIRA-KAMATH
Credential	:
Telephone Number	:	207-910-0771

Provider Enumeration Date	:	07/31/2025
Last Update Date	:	07/31/2025

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Directions to “CASCO BAY INFUSION, LLC ” Practice Location

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