Provider Demographics
NPI:1346048311
Name:PIVOTAL HOME INFUSION CORP
Entity type:Organization
Organization Name:PIVOTAL HOME INFUSION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOBBITT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:502-345-7262
Mailing Address - Street 1:7262 GESWEIN RD
Mailing Address - Street 2:
Mailing Address - City:LANESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47136-9508
Mailing Address - Country:US
Mailing Address - Phone:812-914-0680
Mailing Address - Fax:812-952-4042
Practice Address - Street 1:7262 GESWEIN RD
Practice Address - Street 2:
Practice Address - City:LANESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47136-9508
Practice Address - Country:US
Practice Address - Phone:812-914-0680
Practice Address - Fax:812-952-4042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health