Icare Residential

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ICARE RESIDENTIAL

Practice address

9165 Otis Ave Ste 233
Indianapolis, IN 46216-2317

Phone

(317) 602-9700

NPI assigned

Dec 27, 2021

Organization subpart

No

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

Authorized official

Name

Miss Michelae Hill

Title

Ceo

Phone

(317) 602-9700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1336809714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE STE 233",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162317",
            "telephone_number": "317-602-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE STE 233",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162317",
            "telephone_number": "317-602-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MICHELAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-602-9700",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Developmentally Disabled Services Day Training Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.