Optum Infusion Services 305, Llc in Lenexa - Parenteral & Enteral Nutrition
Optum Infusion Services 305, Llc - NPI 1366603854
Optum Infusion Services 305, Llc is a Parenteral & Enteral Nutrition in Lenexa, Kansas. Optum Infusion Services 305, Llc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Optum Infusion Services 305, Llc is 1366603854. The last update date is 2023-06-12.
Optum Infusion Services 305, Llc's current location address is 15529 College Blvd, Lenexa, Kansas. You can contact this provider via phone number 8773429352 and fax number 8775429352. The mailing address for Optum Infusion Services 305, Llc is 15529 College Blvd, Lenexa, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Optum Infusion Services 305, Llc |
|---|---|
| Address | 15529 College Blvd, Lenexa, Kansas |
| Phone Number | 8773429352 |
| Fax Number | 8775429352 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Burr Eugene Kevin |
| Telephone Number | 7123104701 |
NPI Number Detail
| NPI Number | 1366603854 |
|---|---|
| Provider Enumeration Date | 2008-06-18 |
| Last Updated Date | 2023-06-12 |
Provider Mailing Address Detail
| Address | 15529 College Blvd |
|---|---|
| City | Lenexa |
| State | Kansas (KS) |
| Post Code | 662191351 |
| Phone Number | 8773429352 |
| Fax Number | 8775429352 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
| Licence No | 2-13075 |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200565770C | KS | -- | |
| 200565770B | KS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Optum Infusion Services 305, Llc?
The Optum Infusion Services 305, Llc has been issued the NPI (National Provider Identifier) 1366603854 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Optum Infusion Services 305, Llc is physically located?
The Optum Infusion Services 305, Llc is physically situated at the following address: 15529 College Blvd, Lenexa, KS, 662191351.
What is Optum Infusion Services 305, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Optum Infusion Services 305, Llc is Parenteral & Enteral Nutrition, and the taxonomy code that categorizes this field of expertise is 332Bp3500X.
On what date was the 1366603854 assigned to Optum Infusion Services 305, Llc?
The Optum Infusion Services 305, Llc was issued its 1366603854 on 2008-06-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Optum Infusion Services 305, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Optum Infusion Services 305, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-06-12.