Organization
SPECIALTY THERAPEUTIC CARE LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DAWN CICCOLELLA-KAHL (PRESIDENT)
(800) 511-5144
Entity
Organization
Contact information
Practice address
1311 W SAM HOUSTON PKWY N STE 150, HOUSTON, TX 77043
(866) 506-2626
(866) 834-8523
Mailing address
PO BOX 956780, SAINT LOUIS, MO 63195-6780
(855) 422-2742
(866) 834-8523
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136712A
—
GA
05
—
0160873
—
OH
05
—
10100264788-00
—
NV
05
—
131430006
—
ME
05
—
148018
—
TX
05
—
1578774
—
AK
05
—
192697407
—
AR
05
—
1962406850
—
ID
05
—
1962406850
—
ME
05
—
1962406850
—
TN
05
—
200096950A
—
OK
01
—
2097210
PK
—
05
—
3094450
—
NH
05
—
6029680
—
WA
05
—
7100232400
—
KY
05
—
73169880001
—
IL
05
—
7T4102
—
SC
05
—
WY0122
—
WY
Enumeration date
06/08/2005
Last updated
02/09/2024
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