Provider Demographics
NPI:1578561478
Name:CRITICAL CARE SYSTEMS, INC
Entity Type:Organization
Organization Name:CRITICAL CARE SYSTEMS, INC
Other - Org Name:OPTION CARE BEDFORD
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 1:1921 PAYSPHERE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-0019
Mailing Address - Country:US
Mailing Address - Phone:800-879-6137
Mailing Address - Fax:
Practice Address - Street 1:10 COMMERCE PARK N
Practice Address - Street 2:UNIT 4
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6905
Practice Address - Country:US
Practice Address - Phone:603-625-8880
Practice Address - Fax:603-625-8881
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CRITICAL CARE SYSTEMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-13
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251F00000X
NH0657P332B00000X, 332BP3500X, 333600000X, 3336C0003X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30010708Medicaid
NH0461840016Medicare NSC
NHRE4867Medicare PIN