MEDICARE: INTRATHECAL CARE SERVICES OF LOUISIANA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251F00000X	Home Infusion Agency
2	208VP0014X	Interventional Pain Medicine Physician
3	207LP2900X	Pain Medicine (Anesthesiology) Physician
4	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
5	2084N0400X	Neurology Physician
6	208VP0000X	Pain Medicine Physician

General Provider Information

NPI Number	:	1932409521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTRATHECAL CARE SERVICES OF LOUISIANA LLC

Provider Business Mailing Address
First Line	:	PO BOX 612
Second Line	:
City	:	CROWLEY
State	:	LA
Zip	:	70527-0612
Country	:	US
Telephone Number	:	337-783-5010
Fax Number	:	651-436-0399

Provider Business Practice Location Address
First Line	:	228 N PARKERSON AVE
Second Line	:
City	:	CROWLEY
State	:	LA
Zip	:	70526-5003
Country	:	US
Telephone Number	:	337-783-5010
Fax Number	:	651-436-0399

Authorized Official
Title or Position	:	MANAGER
Name	:	KAYLA WASHINGTON
Credential	:	MANAGER
Telephone Number	:	337-783-5010

Provider Enumeration Date	:	10/28/2010
Last Update Date	:	03/19/2026

Similar Medicare Providers

1871480863 — GRANT SIMON PLMFT, PLPC
Practice Location Address:

1325 WRIGHT AVE
CROWLEY, LA
70526-2226

Practice Phone: 337-514-5181
Practice Fax:

1033057625 — MYRA MARIE ISTRE
Practice Location Address:

2443 RICE CAPITAL PKWY STE D
CROWLEY, LA
70526-3183

Practice Phone: 337-327-8820
Practice Fax: 337-327-8821

1710195144 — DR. SEYED ALIREZA SADEGHI M.D.
Practice Location Address:

753 ODD FELLOWS RD STE F
CROWLEY, LA
70526-2200

Practice Phone: 337-514-5233
Practice Fax: 337-514-5235

1558200220 — BROOKELYN OWENS HANKS
Practice Location Address:

106 AUTUMN DR
CROWLEY, LA
70526-4071

Practice Phone: 337-581-7633
Practice Fax:

1629925870 — JONATHAN HAMILTON
Practice Location Address:

804 FRANDEL AVE
CROWLEY, LA
70526-3348

Practice Phone: 469-394-4147
Practice Fax:

1679129084 — MARIO ROCHE MARTINEZ
Practice Location Address:

1325 WRIGHT AVE STE D
CROWLEY, LA
70526-2226

Practice Phone: 337-514-5181
Practice Fax:

Directions to “INTRATHECAL CARE SERVICES OF LOUISIANA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.