Coram Healthcare

LBN: Kern Home Health Resources
Coram Healthcare is an health care organization with primary practice located at 3101 Sillect Ave #109, Bakersfield CA 93308-6348. The organization recently has 9 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Home Infusion, Ambulatory Health Care Facilities / Infusion Therapy, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Kern Home Health Resources can be contacted via phone (661) 325-8326, or through Ponzio, Jr., Vito via phone (303) 672-8631.

Contact Information

Primary practice address
3101 Sillect Ave #109 Bakersfield CA 93308-6348
Fax: (661) 325-6509
Website:
Authorized official contact:
Name: Ponzio, Jr., Vito

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 120000325 California
Agencies / Home Infusion 251F00000X 120000325 California
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X California
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X -PHY48940 California
Suppliers / Parenteral & Enteral Nutrition 332BP3500X PHY 41725 California
Suppliers / Pharmacy 333600000X PHY 41725 California
Suppliers / Community/Retail Pharmacy 3336C0003X PHY 41725 California
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PHY 41725 California
Suppliers / Mail Order Pharmacy 3336M0002X PHY 41725 California

Profile Details

NPI number 1699725739
LBN Legal business name Kern Home Health Resources
DBA Doing business as Coram Healthcare
Authorized official Ponzio, Jr., Vito
Entity Organization
Organization subpart 1 Yes
Enumeration date May 11th, 2006
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699725739 NPPES
Other 0522474 NCPDP
Other 120000325 NCPDP
MEDICAID PHA417250 NCPDP
Other -PHY48940 NCPDP

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