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Coram Healthcare Corporation Of Northern California
Home Infusion Agency in Concord, California
NPI 1629027867

Coram Healthcare Corporation Of Northern California is a Home Infusion Agency based in Chicago, CA. Coram Healthcare Corporation Of Northern California practices in Concord, CA. The NPI Number for Coram Healthcare Corporation Of Northern California is 1629027867 and holds a License No. 020000338 (California).

The current practice location address for Coram Healthcare Corporation Of Northern California is 1401 Willow Pass Rd, Concord, CA and can be reached out via phone at 323-371-5046.

Location: 1401 Willow Pass Rd, Concord, CA, 60680-9160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629027867
Provider Name
Coram Healthcare Corporation Of Northern California
Credential
Provider Entity Type
Organization
Address
1401 Willow Pass Rd, Concord, CA, 60680-9160
Phone Number
323-371-5046
Fax Number
Provider Enumeration Date
05/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PHY49294 01 CA PHARMACY LICENSE
020000338 01 CA HOME HEALTH AGENCY
0522385 01 NCPDP
PHA466360 05 CA
institution
Provider Business Practice Location Address Details
Address
1401 Willow Pass Rd
City
Concord
State
California
Zip
94520-7982
Phone Number
323-371-5046
Fax Number
person
Provider Business Mailing Address Details
Address
1401 Willow Pass Rd
City
Concord
State
California
Zip
94520-7982
Phone Number
323-371-5046
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
020000338 (California)
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.
020000338 (California)
Definition
Definition to come...
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