Intrathecal Care Solutions

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

License

LC1021172 Issued in MO

Legal business name

INTRATHECAL CARE SOLUTIONS

Practice address

623 Highland Colony Pkwy Ste 100
Ridgeland, MS 39157-6077

Phone

(601) 988-1700

Fax

(816) 875-4473

NPI assigned

Mar 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Simon Castellanos

Title

Ceo

Phone

(601) 988-1700

Specialties & licenses 1

Addresses

Other names 1

• ICS Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1184947475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 HIGHLAND COLONY PKWY STE 100",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576077",
            "telephone_number": "601-988-1700",
            "fax_number": "601-988-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 HIGHLAND COLONY PKWY STE 100",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576077",
            "telephone_number": "601-988-1700",
            "fax_number": "816-875-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRATHECAL CARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-988-1700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "MO",
            "license": "LC1021172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "ICS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Infusion Agency in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Home Infusion Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.