INTRATHECAL CARE SOLUTIONS (NPI# 1184947475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184947475 |
| Entity Type | Organization |
| Organization Name | INTRATHECAL CARE SOLUTIONS |
| Other Organization Name | ICS |
| Practice Address |
623 Highland Colony Pkwy Ste 100 Ridgeland MS 39157-6077 |
| Practice Telephone | 6019881700 |
| Practice Fax Number | 8168754473 |
| Mailing Telephone | 6019881700 |
| Mailing Fax Number | 6019881701 |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2018-09-26 |
| Authorized Official Name | MR. SIMON CASTELLANOS (CEO) |
| Authorized Official Telephone | 6019881700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251F00000X | Home Infusion | LC1021172 | MO | Agencies |
| Other Name | Type Code |
|---|---|
| ICS | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Intrathecal Care Solutions, LLC | 18451 Dallas Parkway, Suite 150, Dallas, TX 75287 |
| Iowa Business Entities | INTRATHECAL CARE SOLUTIONS, LLC | 623 Highland Colony Pkwy. Ste 100, Ms 39157, Ridgeland, MS 39157 |
| Oregon Corporations, Companies and Business Names | INTRATHECAL CARE SOLUTIONS, LLC | 623 Highland Colony Pkwy Ste 100, Ridgeland, MS 39157 |
| New York State Corporations | INTRATHECAL CARE SOLUTIONS, LLC | 111 Eight Avenue, New York, Ny 10011 |
| Street Address |
623 HIGHLAND COLONY PKWY STE 100 |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-6077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336243393 | Bond Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 623 Highland Colony Pkwy Ste 100, Ridgeland, MS 39157-6077 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 251F00000X |
| Grouping | Agencies |
| Classification | Home Infusion |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700439 | Infusacare, Inc. | Home Infusion | 864 Wilson Dr, Ste A, Ridgeland, MS 39157-4512 | 2005-06-20 |
| 1104201789 | Health Care Medical | Home Infusion | 625 S Pear Orchard Rd, Suite A, Ridgeland, MS 39157-4836 | 2015-07-24 |
| 1598088353 | Medical Infusion Technologies,inc | Home Infusion | 149 Riverwalk Blvd, Suite 6, Ridgeland, SC 29936-8190 | 2010-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574342 | Infusion Partners, LLC | Home Infusion | 187 Country Place Pkwy Ste C, Pearl, MS 39208-6607 | 2020-09-25 |
| 1154953115 | Twin States Infusion, LLC | Home Infusion | 146 S Thomas St Ste B, Tupelo, MS 38801-5328 | 2020-02-07 |
| 1619305976 | A & A Infusion & Specialty, LLC | Home Infusion | 2044 Highway 1 S, Greenville, MS 38701-7806 | 2013-10-24 |
| 1750356721 | Ob Solution LLC | Home Infusion | 1855 Lakeland Drive, Ste M10, Jackson, MS 39216 | 2006-02-22 |
| 1770589095 | Burnham Mckinney Pharmacies Inc | Home Infusion | 5001 Main St, Moss Point, MS 39563-2738 | 2005-06-22 |
| 1811071251 | Quality Pharmacy, Inc. | Home Infusion | 999 Howard Ave, Suite 2, Biloxi, MS 39530-3745 | 2006-10-24 |
| 1316983869 | Diversified Infusioncare Solutions | Home Infusion | 403 Hospital Rd, Starkville, MS 39759-2164 | 2006-06-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.