Organization Active NPI

Icaregiver LLC

  • In Home Supportive Care Agency
  • Roseville, MN
National Provider Identifier
1124991260
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ICAREGIVER LLC
Practice address
1415 County Road B W Apt 207
Roseville, MN 55113-4216
Phone
(614) 774-9963
NPI assigned
Sep 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Nasteho Hassan
Title
Ceo/Owner
Phone
(614) 774-9963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1415 County Road B W Apt 207
Roseville, MN 55113-4216

Mailing address

1415 County Road B W Apt 207
Roseville, MN 55113-4216
Phone (614) 774-9963

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1124991260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 COUNTY ROAD B W APT 207",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134216",
            "telephone_number": "614-774-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 COUNTY ROAD B W APT 207",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134216",
            "telephone_number": "614-774-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAREGIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "NASTEHO",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "614-774-9963"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.