Organization Active NPI

Icare Adult Day Center, LLC

  • Adult Day Care Clinic/Center
  • Prescott, AZ
National Provider Identifier
1245997030
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ICARE ADULT DAY CENTER, LLC
Practice address
213 N Marina St
Prescott, AZ 86301-3105
Phone
(928) 515-1011
NPI assigned
Nov 29, 2021
Last updated
Nov 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
Alan Wikman
Title
Ceo
Phone
(928) 515-1011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

213 N Marina St
Prescott, AZ 86301-3105

Mailing address

213 N Marina St
Prescott, AZ 86301-3105
Phone (928) 515-1011

National Provider Directory

National Provider Directory

Locations

213 N Marina St
Prescott, AZ 86301
Phone (928) 515-1011

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1245997030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N MARINA ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013105",
            "telephone_number": "928-515-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N MARINA ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013105",
            "telephone_number": "928-515-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE ADULT DAY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "WIKMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-515-1011"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.