Icare Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ICARE HOME HEALTH CARE LLC

Practice address

2742 Park Ave
Saint Louis, MO 63104-2026

Phone

(314) 216-1381

Fax

(800) 945-9274

NPI assigned

Oct 6, 2021

Organization subpart

No

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

Authorized official

Name

Amani Tatum

Title

Exec Director

Phone

(314) 216-1381

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1285396333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742 PARK AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042026",
            "telephone_number": "314-216-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2742 PARK AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042026",
            "telephone_number": "314-216-1381",
            "fax_number": "800-945-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "AMANI",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "314-216-1381"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nour Ibrahim, MD
• Saira Ibrahim, MD
• Saman Ibrahim, M.D.
• Arturan Ibrahimli, MD
• Sanel Ibrahimovic, RPH
• Jessie Icenogle, PHARMD
• Nneka Udonna Ichoku, D.O., MPH
• Miranda A Ickler
• Iconic Services Inc
• Idalia Blue'S Home Health II LLC

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.