Provider Demographics
NPI:1912119819
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 1:215 SHORE RD
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2631
Practice Address - Country:US
Practice Address - Phone:609-926-6577
Practice Address - Fax:609-926-6588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336S0011X
NJ28RS005350003336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0148971Medicaid
2118179OtherPK
NJ7097913Medicaid
2118179OtherPK