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NPI Code Detail

MEDICARE: BASIC HOME INFUSION, LLC

MEDICARE: BASIC 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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336H0001XHome Infusion Therapy Pharmacy28RS00513100NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12053773OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679514509
Entity Type Code : Organization
Provider Name (Legal Business Name) : BASIC HOME INFUSION, LLC
Provider Business Mailing Address
First Line : 1401 VALLEY RD
Second Line : 4TH FLOOR
City : WAYNE
State : NJ
Zip : 07470-2073
Country : US
Telephone Number : 201-475-0500
Fax Number : 973-706-8009
Provider Business Practice Location Address
First Line : 1401 VALLEY RD
Second Line : 4TH FLOOR
City : WAYNE
State : NJ
Zip : 07470-2073
Country : US
Telephone Number : 201-475-0500
Fax Number : 973-706-8009
Authorized Official
Title or Position : CFO
Name : JYOTSANA SAHOTA
Credential :
Telephone Number : 888-822-7428
Provider Enumeration Date : 06/10/2006
Last Update Date : 12/19/2025

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