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BLUE IV LLC
NPI 1306624358
Home Infusion in Windham, NH

Active since September 20, 2023
32 LONDON BRIDGE RD, WINDHAM, NH 03087(612) 367-7806 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 29, 2024, Jun 12, 2024, Oct 19, 2023 (3 updates tracked since 2023).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Home Infusion

About BLUE IV LLC

This page provides the complete NPI Profile along with additional information for Blue Iv Llc, a provider established in Windham, New Hampshire operating as a Home Infusion. The healthcare provider is registered in the NPI registry with number 1306624358 assigned on September 2023. The practitioner's primary taxonomy code is 251F00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's former legal business name is Revive Iv, Llc. The authorized official of this NPI record is Kim Boyle (Coo)

NPI
1306624358 Verify this NPI
Provider Legal Name
BLUE IV LLC
Other Organization Name
REVIVE IV, LLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
32 LONDON BRIDGE RD WINDHAM, NH 03087
Location Phone
(612) 367-7806
Mailing Address
32 LONDON BRIDGE RD WINDHAM, NH 03087
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2023
Last Update Date
07-29-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Infusion

Taxonomy Code
251F00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIM BOYLE

Authorized Official Title
COO
Authorized Official Phone
(914) 512-1793

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Frequently Asked Questions

What is BLUE IV LLC's NPI number?

The NPI number assigned to this healthcare provider is 1306624358, enumerated as an "organization" on September 20, 2023.

Where is the provider located?

The provider is located at 32 LONDON BRIDGE RD WINDHAM, NH 03087 and the phone number is (612) 367-7806.

What is the provider's specialty?

Home Infusion with taxonomy code 251F00000X.