MEDICARE: LDI IV CARE 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	251E00000X	Home Health Agency
2	3336H0001X	Home Infusion Therapy Pharmacy

General Provider Information

NPI Number	:	1790967701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LDI IV CARE LLC

Provider Business Mailing Address
First Line	:	680 CRAIG ROAD
Second Line	:	SUITE 200
City	:	ST LOUIS
State	:	MO
Zip	:	63141-7120
Country	:	US
Telephone Number	:	314-652-2121
Fax Number	:	314-652-2126

Provider Business Practice Location Address
First Line	:	65 SOUTH 65TH STREET
Second Line	:	SUITE 1
City	:	BELLEVILLE
State	:	IL
Zip	:	62223-2946
Country	:	US
Telephone Number	:	618-398-2720
Fax Number	:	618-398-3458

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GRANT S DINO
Credential	:	PHARM D
Telephone Number	:	314-652-2121

Provider Enumeration Date	:	11/30/2007
Last Update Date	:	11/30/2007

Similar Medicare Providers

1184708836 — IV CARE, LLC
Practice Location Address:

65 S 65TH ST STE 1
BELLEVILLE, IL
62223-2946

Practice Phone: 618-398-8069
Practice Fax: 618-398-8072

1821699026 — FIRST CHOICE MEDICAL EQUIPMENT, INC
Practice Location Address:

65 S 65TH ST STE 10
BELLEVILLE, IL
62223-2946

Practice Phone: 636-730-1320
Practice Fax:

1245823699 — INTEGRATED HEALTH & WELLNESS CENTER LLC
Practice Location Address:

106 SOUTH ST
BELLEVILLE, MI
48111-2946

Practice Phone: 734-210-3246
Practice Fax:

1053190728 — JUSTIN LEIGH MCKEVITT MSW,LCSW
Practice Location Address:

6 POWDER VALLEY DR
BELLEVILLE, IL
62223-1925

Practice Phone: 314-328-0955
Practice Fax:

1972509339 — AMY BRUGGEMANN FNP
Practice Location Address:

40 N 64TH ST
BELLEVILLE, IL
62223-3808

Practice Phone: 618-397-8400
Practice Fax:

1356348221 — WILLOWCREEK REHAB AND NURSING CENTER
Practice Location Address:

40 N 64TH ST
BELLEVILLE, IL
62223-3808

Practice Phone: 618-397-8400
Practice Fax:

Directions to “LDI IV CARE 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.