MEDICARE: CORAM ALTERNATE SITE SERVICES, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1841131786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORAM ALTERNATE SITE SERVICES, INC

Provider Business Mailing Address
First Line	:	PO BOX 809160
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60680-9160
Country	:	US
Telephone Number	:	401-765-1500
Fax Number	:	401-625-1593

Provider Business Practice Location Address
First Line	:	9600 N MOPAC EXPY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-6507
Country	:	US
Telephone Number	:	405-226-2037
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EMILY FIELD
Credential	:
Telephone Number	:	401-765-1500

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/06/2026

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