Provider Demographics
NPI:1891703575
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:312-940-2597
Practice Address - Street 1:6611 N BELT LINE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-6001
Practice Address - Country:US
Practice Address - Phone:972-536-7355
Practice Address - Fax:972-505-4050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251F00000X
TX20727261QI0500X, 332B00000X, 332BP3500X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR183544733Medicaid
TX014557501Medicaid
TX140631602Medicaid
TX145077Medicaid
AR183543407Medicaid
TX140631601Medicaid
OK100262390DMedicaid
AR183546407Medicaid
4517592OtherNCPDP
TX4517592Medicaid
TX148518701Medicaid
AR183546407Medicaid
0388540027Medicare NSC
PH0841Medicare PIN
AR183544733Medicaid