Provider Demographics
NPI:1871143644
Name:REGIONAL HOME CARE AND INFUSIONS, INC.
Entity type:Organization
Organization Name:REGIONAL HOME CARE AND INFUSIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:314-698-3500
Mailing Address - Street 1:432 GREENAPPLE DR
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42044-9345
Mailing Address - Country:US
Mailing Address - Phone:813-606-4216
Mailing Address - Fax:813-606-4216
Practice Address - Street 1:432 GREENAPPLE DR
Practice Address - Street 2:
Practice Address - City:GILBERTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42044-9345
Practice Address - Country:US
Practice Address - Phone:813-606-4216
Practice Address - Fax:813-606-4216
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGIONAL HOME CARE AND INFUSIONS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy