NPIMap

Organization Active NPI

Icare Health Services LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1093404766
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ICARE HEALTH SERVICES LLC
Practice address
2530 E Indian School Rd
Phoenix, AZ 85016
Phone
(602) 675-1610
NPI assigned
May 8, 2023
Last updated
May 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Victoria Fabuluje
Title
President/Ceo
Phone
(202) 717-2541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2530 E Indian School Rd
Phoenix, AZ 85016

Mailing address

3006 West Donner Drive
Phoenix, AZ 85041
Phone (202) 717-2541

Other practice location 1

1552 East Winston Drive
Phoenix, AZ 85042
Phone (480) 876-4904

Other practice location 2

5222 W Glendale Ave
Glendale, AZ 85301
Phone (202) 717-2541

Other practice location 3

6422 E. Speedway Blvd Suite 120 & 124
Tucson, AZ 85710
Phone (708) 953-5513

Other practice location 4

1828 N Craycroft Rd
Tucson, AZ 85712
Phone (520) 722-5526

Other practice location 5

1916 W Oliver
Show Low, AZ 85901
Phone (480) 543-7433

Other practice location 6

4330 N Agua Fria
Prescott Valley, AZ 86314
Phone (928) 772-4456

Other practice location 7

1816 N Walnut Dr
Safford, AZ 85546
Phone (928) 432-3925

Other practice location 8

5933 S Herpa Dr
Tucson, AZ 85706
Phone (520) 367-4129

Other practice location 9

3730 W Tybolt Dr
Tucson, AZ 85746
Phone (520) 385-5489

National Provider Directory

National Provider Directory
Tax ID family
Icare Health Services LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5222 W Glendale Ave
Glendale, AZ 85301
Phone (623) 303-3813

2530 E Indian School Rd
Phoenix, AZ 85016
Phone (602) 675-1610

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1093404766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 WEST DONNER DRIVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85041",
            "telephone_number": "202-717-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "602-675-1610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1552 East Winston Drive",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85042",
            "country_code": "US",
            "telephone_number": "480-876-4904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5222 W Glendale Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "85301",
            "country_code": "US",
            "telephone_number": "202-717-2541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6422 E. Speedway Blvd Suite 120 & 124",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85710",
            "country_code": "US",
            "telephone_number": "708-953-5513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1828 N Craycroft Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85712",
            "country_code": "US",
            "telephone_number": "520-722-5526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1916 W Oliver",
            "address_purpose": "LOCATION",
            "city": "Show Low",
            "state": "AZ",
            "postal_code": "85901",
            "country_code": "US",
            "telephone_number": "480-543-7433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4330 N Agua Fria",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "86314",
            "country_code": "US",
            "telephone_number": "928-772-4456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1816 N Walnut Dr",
            "address_purpose": "LOCATION",
            "city": "Safford",
            "state": "AZ",
            "postal_code": "85546",
            "country_code": "US",
            "telephone_number": "928-432-3925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5933 S Herpa Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85706",
            "country_code": "US",
            "telephone_number": "520-367-4129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3730 W Tybolt Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85746",
            "country_code": "US",
            "telephone_number": "520-385-5489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ICARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-07",
        "status": "A",
        "authorized_official_last_name": "FABULUJE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "202-717-2541"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.