Provider Demographics
NPI:1902843717
Name:HEMACARE PLUS, LLC
Entity Type:Organization
Organization Name:HEMACARE PLUS, LLC
Other - Org Name:HEMACARE PLUS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARLA
Authorized Official - Middle Name:K
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:251-463-2191
Mailing Address - Street 1:8909 RAND AVE
Mailing Address - Street 2:STE B
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-9126
Mailing Address - Country:US
Mailing Address - Phone:251-621-8499
Mailing Address - Fax:251-621-3950
Practice Address - Street 1:8909 RAND AVE
Practice Address - Street 2:STE B
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-9126
Practice Address - Country:US
Practice Address - Phone:251-621-8499
Practice Address - Fax:251-621-3950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336H0001X, 3336S0011X
AL1128083336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1995882OtherPK
FL031733100Medicaid
AL100003720Medicaid