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Beacon Health Ventures Inc
Home Infusion Therapy Pharmacy in South Bend, Indiana
NPI 1790859403

Beacon Health Ventures Inc is a Home Infusion Therapy Pharmacy based in South Bend, IN and is specialized in Home Infusion Therapy Pharmacy. Beacon Health Ventures Inc practices in South Bend, IN. The NPI Number for Beacon Health Ventures Inc is 1790859403 and holds a License No. 60004143A (Indiana).

The current practice location address for Beacon Health Ventures Inc is 3355 Douglas Rd, South Bend, IN and can be reached out via phone at 574-647-8675 and via fax at 574-647-8764.

Location: 3355 Douglas Rd, South Bend, IN, 46635-1779
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790859403
Provider Name
Beacon Health Ventures Inc
Credential
Provider Entity Type
Organization
Address
3355 Douglas Rd, South Bend, IN, 46635-1779
Phone Number
574-647-8675
Fax Number
574-647-8764
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M300042869 01 IN MEDICARE PART B/IMMUNIZATIONS
000000107793 01 IN ANTHEM
100263690A 01 IN WAIVER
100301140A 05 IN
000000097412 01 IN ANTHEM PROVIDER
institution
Provider Business Practice Location Address Details
Address
3355 Douglas Rd
City
South Bend
State
Indiana
Zip
46635-1779
Phone Number
574-647-8675
Fax Number
574-647-8764
person
Provider Business Mailing Address Details
Address
3355 Douglas Rd
City
South Bend
State
Indiana
Zip
46635-1779
Phone Number
574-647-8675
Fax Number
574-647-8764
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Infusion
Speciality
-
Taxonomy
251F00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
69000137A (Indiana)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
3336H0001X
License No.
60004143A (Indiana)
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
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