Icare 360

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ICARE 360

Practice address

2505 Lord Baltimore Dr Ste F&G
Windsor Mill, MD 21244-2673

Phone

(443) 221-0542

NPI assigned

Dec 14, 2021

Last updated

Dec 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adetunji Adewumi

Title

President/Director

Phone

(443) 221-0542

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1073272241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 BULL RUN RD",
            "city": "TANEYTOWN",
            "state": "MD",
            "postal_code": "217872658",
            "telephone_number": "443-221-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 LORD BALTIMORE DR STE F&G",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442673",
            "telephone_number": "443-221-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "ADEWUMI",
        "authorized_official_first_name": "ADETUNJI",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "443-221-0542"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Windsor Mill, MD by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.