Coram Alternate Site Services, Inc.
NPI 1619478047ActiveOrganization· Home Infusion· Phoenix, AZ
Home Infusion in Phoenix, Arizona, registered in NPPES in February 2018. The authorized official on file is Tricia Lacavich, President.
Overview
| NPI | 1619478047 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 21, 2018 |
| Last updated in NPPES | Oct 20, 2022 |
| Certified by provider | Oct 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Home Infusion Primary | 251F00000X | — | — |
| Home Health | 251E00000X | — | — |
| Pharmacy | 333600000X | — | — |
| Pharmacy, Home Infusion Therapy Pharmacy | 3336H0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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