Organization Active NPI

Icare Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Dearborn Heights, MI
National Provider Identifier
1255083366
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ICARE URGENT CARE PLLC
Practice address
23850 Van Born Rd Ste B
Dearborn Heights, MI 48125-2325
Phone
(313) 278-7750
NPI assigned
Jan 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Fahtme Abdallah
Title
Authoroized Official
Phone
(313) 623-3975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

23850 Van Born Rd Ste B
Dearborn Heights, MI 48125-2325

Mailing address

32320 Michigan Ave
Wayne, MI 48184-1423
Phone (313) 578-1911

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WAYNE Other

National Provider Directory

National Provider Directory

Locations

23850 Van Born Rd
Ste C
Dearborn Heights, MI 48125
Phone (313) 429-3150

23850 Van Born Rd
Dearborn Hts, MI 48125
Phone (313) 278-7750

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1255083366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32320 MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841423",
            "telephone_number": "313-578-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23850 VAN BORN RD STE B",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252325",
            "telephone_number": "313-278-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "ABDALLAH",
        "authorized_official_first_name": "FAHTME",
        "authorized_official_title_or_position": "AUTHOROIZED OFFICIAL",
        "authorized_official_telephone_number": "313-623-3975"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WAYNE",
            "affiliation": "N",
            "endpointDescription": "OTHER",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "WAYNE",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "32320 Michigan Ave",
            "city": "Wayne",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481841423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.