BLUE IV LLC — NPI 1306624358 (Licensed & Credentialed Home Infusion in WINDHAM, NH)

CMS-1500 Box 24J / 33a • NPI

1306624358

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251F00000X

Licensed & Credentialed Home Infusion

Box 32 Service Location & ZIP+4

32 LONDON BRIDGE RD, WINDHAM, NH, 03087-1786

✓ 9-Digit EDI 837 ZIP+4 (03087-1786)

Practice Phone & Referral Fax

(612) 367-7806

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1306624358 (BLUE IV LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1306624358` (NPI-2 Organization / Facility)
Provider / Legal Name	BLUE IV LLC
Plain-English Specialty	Licensed & Credentialed Home Infusion NUCC Code: `251F00000X` (Home Infusion)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	32 LONDON BRIDGE RD, WINDHAM, NH, 03087-1786
Practice Telephone / Fax	Tel: (612) 367-7806
Administrative Mailing Address	32 LONDON BRIDGE RD, WINDHAM, NH, 03087-1786
Enumeration & Last Sync	Enumerated: 2023-09-20 \| CMS Record Updated: 2024-07-29
Authorized Official	KIM BOYLE (COO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

32 LONDON BRIDGE RD, WINDHAM, NH, 03087-1786

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Plain-English Taxonomy & CMS Crosswalk (251F00000X)

What Does Taxonomy Code 251F00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251F00000X translates to:
"Licensed & Credentialed Home Infusion"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Home Infusion for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BLUE IV LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251F00000X` — Home Infusion Plain English: Licensed & Credentialed Home Infusion	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BLUE IV LLC (NPI #1306624358)