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Coram Healthcare Corporation Of Greater Dc
Home Infusion Agency in Falls Church, Virginia
NPI 1134228745

Coram Healthcare Corporation Of Greater Dc is a Home Infusion Agency based in Chicago, VA. Coram Healthcare Corporation Of Greater Dc practices in Falls Church, VA. The NPI Number for Coram Healthcare Corporation Of Greater Dc is 1134228745 and holds a License No. HCO-176 (Virginia).

The current practice location address for Coram Healthcare Corporation Of Greater Dc is 3190 Fairview Park Dr, Falls Church, VA and can be reached out via phone at 443-669-8675 and via fax at 703-631-6738. You can also correspond with Coram Healthcare Corporation Of Greater Dc through the mailing address at PO BOX 809160, CHICAGO, IL - 60680-9160 (mailing address contact number: 480-765-5043).

Location: 3190 Fairview Park Dr, Falls Church, VA, 60680-9160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134228745
Provider Name
Coram Healthcare Corporation Of Greater Dc
Credential
Provider Entity Type
Organization
Address
3190 Fairview Park Dr, Falls Church, VA, 60680-9160
Phone Number
443-669-8675
Fax Number
703-631-6738
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4829846 01 NCPDP
0201002670 01 VA RX LICENSE
institution
Provider Business Practice Location Address Details
Address
3190 Fairview Park Dr
City
Falls Church
State
Virginia
Zip
22042-4530
Phone Number
443-669-8675
Fax Number
703-631-6738
person
Provider Business Mailing Address Details
Address
Po Box 809160
City
Chicago
State
Illinois
Zip
60680-9160
Phone Number
480-765-5043
Fax Number
401-733-0211
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
HCO-176 (Virginia)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Infusion
Speciality
-
Taxonomy
251F00000X
License No.
HCO-176 (Virginia)
Definition
Definition to come...
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