Provider Demographics
NPI:1003081043
Name:OPTION CARE ENTERPRISES, INC.
Entity Type:Organization
Organization Name:OPTION CARE ENTERPRISES, INC.
Other - Org Name:OPTION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-879-6137
Mailing Address - Street 1:4222 PAYSPHERE CIR
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-0042
Mailing Address - Country:US
Mailing Address - Phone:800-879-6137
Mailing Address - Fax:
Practice Address - Street 1:11550 IH 10 WEST
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1066
Practice Address - Country:US
Practice Address - Phone:210-697-0673
Practice Address - Fax:210-697-0678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2022-04-14
Deactivation Date:2014-05-15
Deactivation Code:
Reactivation Date:2015-03-13
Provider Licenses
StateLicense IDTaxonomies
TX008410251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health