MEDICARE: OPTION CARE ENTERPRISES, 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	3336H0001X	Home Infusion Therapy Pharmacy	054.016748	IL
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	054.016748	IL
3	332B00000X	Durable Medical Equipment & Medical Supplies
4	251F00000X	Home Infusion Agency
5	333600000X	Pharmacy	054.016748	IL
6	3336S0011X	Specialty Pharmacy	054.016748	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	214261	OTHER		MEDICARE B LOCAL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	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
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	1483940	OTHER	NCPDP

General Provider Information

NPI Number	:	1639405954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTION CARE ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	4222 PAYSPHERE CIR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-0042
Country	:	US
Telephone Number	:	800-879-6137
Fax Number	:	847-913-9024

Provider Business Practice Location Address
First Line	:	870 N. ARLINGTON HEIGHTS RD
Second Line	:	SUITE 101
City	:	ITASCA
State	:	IL
Zip	:	60143-0000
Country	:	US
Telephone Number	:	630-495-2899
Fax Number	:	877-974-4845

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

Provider Enumeration Date	:	10/21/2009
Last Update Date	:	10/14/2025

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