Provider Demographics
| NPI: | 1053054817 |
|---|---|
| Name: | INFUSION CARE, LLC |
| Entity type: | Organization |
| Organization Name: | INFUSION CARE, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER/PHYSICIAN |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | JOHN |
| Authorized Official - Middle Name: | W |
| Authorized Official - Last Name: | TOLE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DO |
| Authorized Official - Phone: | 334-744-1869 |
| Mailing Address - Street 1: | 1925 E GLENN AVE STE 203 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | AUBURN |
| Mailing Address - State: | AL |
| Mailing Address - Zip Code: | 36830-5729 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 334-521-0073 |
| Mailing Address - Fax: | 334-521-0394 |
| Practice Address - Street 1: | 1925 E GLENN AVE STE 203 |
| Practice Address - Street 2: | |
| Practice Address - City: | AUBURN |
| Practice Address - State: | AL |
| Practice Address - Zip Code: | 36830-5729 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 334-521-0073 |
| Practice Address - Fax: | 334-521-7898 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2022-04-19 |
| Last Update Date: | 2025-06-05 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QI0500X | Ambulatory Health Care Facilities | Clinic/Center | Infusion Therapy |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| AL | 128735 | Medicaid |