Provider Demographics
NPI:1083775621
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 1:345 INVERNESS DR S
Practice Address - Street 2:BUILDING A, SUITE 140
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5890
Practice Address - Country:US
Practice Address - Phone:303-694-1202
Practice Address - Fax:303-694-3120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO178251F00000X, 261QI0500X, 332B00000X, 332BP3500X, 332BX2000X, 3336H0001X
251J00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKPHA462COMedicaid
CO57073571Medicaid
WY125543600 (DME)Medicaid
MT1083775621Medicaid
WY123045000 (PHARMACY)Medicaid
CO0388540052Medicare NSC
MT1083775621Medicaid