Active NPI
Icare Urgent Care PLLC
- Urgent Care Clinic/Center
- Dearborn Heights, MI
National Provider Identifier
1255083366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | WAYNE | Other |
National Provider Directory
National Provider DirectoryLocations
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.