Provider Demographics
NPI:1265640239
Name:INDEPENDENT CARESERVICES, INC.
Entity Type:Organization
Organization Name:INDEPENDENT CARESERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-923-2373
Mailing Address - Street 1:660 N FOSTER DR
Mailing Address - Street 2:SUITE 110B
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-1871
Mailing Address - Country:US
Mailing Address - Phone:225-923-2373
Mailing Address - Fax:225-923-0338
Practice Address - Street 1:660 N FOSTER DR
Practice Address - Street 2:SUITE 110B
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-1871
Practice Address - Country:US
Practice Address - Phone:225-923-2373
Practice Address - Fax:225-923-0338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1996939Medicaid