Provider Demographics
NPI:1902298805
Name:US SPECIALTY CARE, LLC
Entity Type:Organization
Organization Name:US SPECIALTY CARE, LLC
Other - Org Name:HEALTHDYNE SPECIALTY / WELLDYNE SPECIALTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF CLINICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-479-2000
Mailing Address - Street 1:500 EAGLES LANDING DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33810-2899
Mailing Address - Country:US
Mailing Address - Phone:888-479-2000
Mailing Address - Fax:
Practice Address - Street 1:500 EAGLES LANDING DR STE A
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33810-2899
Practice Address - Country:US
Practice Address - Phone:800-641-8475
Practice Address - Fax:800-530-8589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA9-0001725333600000X
NJ28RO001217003336C0003X
WVMO05610913336C0003X
FLPH289523336C0003X
SD400-14603336C0003X
MI53010112713336C0003X
CA17683336C0003X
WY513363336C0003X
ND13193336C0003X
3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2150750OtherPK
FL015585000Medicaid
7473520001Medicare NSC