Provider Demographics
NPI:1689181661
Name:BIOSCRIP NURSING SERVICES, LLC
Entity Type:Organization
Organization Name:BIOSCRIP NURSING SERVICES, LLC
Other - Org Name:BIOSCRIP NURSING SERVICES,
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP, GC AND SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:STALMACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-697-5171
Mailing Address - Street 1:1600 BROADWAY STE 700
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-4967
Mailing Address - Country:US
Mailing Address - Phone:720-697-5171
Mailing Address - Fax:
Practice Address - Street 1:100 CLEARBROOK RD STE 180
Practice Address - Street 2:
Practice Address - City:ELMSFORD
Practice Address - State:NY
Practice Address - Zip Code:10523
Practice Address - Country:US
Practice Address - Phone:845-425-1706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOSCRIP NURSING SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-29
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1006L001OtherHHA