Infusacare, Inc.

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

License

02417 / 02.1 Issued in MS

Legal business name

INFUSACARE, INC.

Practice address

864 Wilson Dr
Ste a
Ridgeland, MS 39157-4512

Phone

(601) 956-5272

Fax

(601) 956-2474

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. B. Lee Atkins, R PH.

Title

President

Phone

(601) 956-5272

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992700439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2720",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391582720",
            "telephone_number": "601-956-5272",
            "fax_number": "601-956-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 WILSON DR",
            "address_2": "STE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574512",
            "telephone_number": "601-956-5272",
            "fax_number": "601-956-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFUSACARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "B.",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-956-5272",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R PH."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "MS",
            "license": "02417 / 02.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440102",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330067",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00112016",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.