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PTCOA HOME INFUSION SERVICES LLC
NPI 1235723313
Home Infusion in Little Rock, AR

Active since March 01, 2021CLIA 04D2272918 · Waiver
108 N SHACKLEFORD RD, LITTLE ROCK, AR 72211(844) 215-0731(501) 404-7789 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ptcoa Home Infusion Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PTCOA HOME INFUSION SERVICES LLC (NPI 1235723313) is a healthcare organization registered as a home infusion in Little Rock, Arkansas and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists Meraj Siddiqui, Owner, as its authorized official.

NPPES Registry Identity

NPI1235723313
Entity TypeOrganization
Primary Taxonomy251F00000X
Legal Business NamePTCOA HOME INFUSION SERVICES LLC
Location Address108 N SHACKLEFORD RDLittle Rock, AR 72211-2840
Mailing Address108 N Shackleford RdLittle Rock, AR 72211-2840
Phone(844) 215-0731
Fax(501) 404-7789
Organization SubpartNo
Authorized OfficialMeraj SiddiquiOwner · (501) 712-2571
Enumeration DateMarch 1, 2021
NPPES CertifiedMarch 1, 2021
✔ NPI 1235723313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome InfusionAgencies
Taxonomy Code251F00000X
108 N SHACKLEFORD RD, Little Rock, AR 72211
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Other Identifiers 1

OtherMG01994AR · Supplier Medical Equipment License

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2272918

Ptcoa Home Infusion Services LLC · Little Rock, AR
Active · expires Dec 1, 2026
CLIA Number04D2272918
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorTeresa Johnson
Laboratory Phone(501) 712-2257
Laboratory LocationPtcoa Home Infusion Services LLC108 N Shackleford Road Suite 104, Little Rock, AR 72211
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL NICOLE MCCRARY APRN
Nurse Practitioner (Family)
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211
Pulaski County (501) 773-6993
DR. REID PARNELL PT., DPT,
Physical Therapist
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211
Pulaski County (501) 503-3294
KRISTY THOMPSON APN
Nurse Practitioner (Family)
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211
Pulaski County (501) 551-9255
ASHLEY HOWARD
Nurse Practitioner (Family)
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211
Pulaski County (844) 215-0731
MR. BRIAN IBRAHIM MALKI M.D.
Anesthesiology
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211
Pulaski County (844) 215-8731
DR. HEATHER LYNN WHALEY M.D.
Anesthesiology (Pain Medicine)
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211
Pulaski County (501) 712-2571
DR. NOEMI ESPINOLA SALANG RAMSAY MD
Anesthesiology (Pain Medicine)
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211
Pulaski County (501) 712-2571
MR. MIKHAIL Y IVANOVSKY MD
Anesthesiology
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211
Pulaski County (501) 712-2571

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ptcoa Home Infusion Services LLC's NPI number?

The NPI number for Ptcoa Home Infusion Services LLC is 1235723313. It was assigned to this organization in the NPPES registry on March 1, 2021.

Where is Ptcoa Home Infusion Services LLC located?

Ptcoa Home Infusion Services LLC is located at 108 N Shackleford Rd, Little Rock, AR 72211. The listed phone number is (844) 215-0731.

What is Ptcoa Home Infusion Services LLC's specialty?

The primary specialty registered for this NPI is Home Infusion with taxonomy code 251F00000X.

Does Ptcoa Home Infusion Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2272918) is associated with this NPI, valid through December 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ptcoa Home Infusion Services LLC was last updated on March 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.