Provider Demographics
NPI:1861622581
Name:NEW ENGLAND HOME INFUSION INC
Entity type:Organization
Organization Name:NEW ENGLAND HOME INFUSION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:GILMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-821-5000
Mailing Address - Street 1:3303 S COUNTY TRL
Mailing Address - Street 2:
Mailing Address - City:E GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1434
Mailing Address - Country:US
Mailing Address - Phone:401-821-5000
Mailing Address - Fax:401-821-5016
Practice Address - Street 1:3303 S COUNTY TRL
Practice Address - Street 2:
Practice Address - City:E GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1434
Practice Address - Country:US
Practice Address - Phone:401-821-5000
Practice Address - Fax:401-821-5016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-15
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPHA005243336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2121446OtherPK