Provider Demographics
NPI:1689900789
Name:HOME INFUSION SOLUTIONS LLC
Entity Type:Organization
Organization Name:HOME INFUSION SOLUTIONS LLC
Other - Org Name:HOME SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-484-6262
Mailing Address - Street 1:1001 GRAND ST S
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-3384
Mailing Address - Country:US
Mailing Address - Phone:609-484-6262
Mailing Address - Fax:609-383-9117
Practice Address - Street 1:10300 EATON PL STE 170
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2231
Practice Address - Country:US
Practice Address - Phone:703-273-0333
Practice Address - Fax:703-273-0332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-23
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0002X, 3336C0004X, 3336S0011X, 3336C0002X, 3336C0004X, 3336S0011X
VA02010043123336H0001X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2122346OtherPK
2122346OtherPK
A08006391OtherMEDICARE SUBMITTER ID#
VA5912370007Medicare NSC
VA1689900789Medicaid