Icare Group Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

ICARE GROUP INC

Practice address

2329 Reisterstown Rd
Baltimore, MD 21217-1932

Phone

(443) 744-5328

NPI assigned

May 10, 2024

Organization subpart

No

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

Authorized official

Name

Boliong Amang

Title

Ceo

Phone

(443) 744-5328

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1366290629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171932",
            "telephone_number": "443-744-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "AMANG",
        "authorized_official_first_name": "BOLIONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-744-5328"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khadijat Oluwawemimo Ibrahim, PHARMACIST
• Mohamed M Ibrahim, MD
• Mohd Elmugtaba Mutasim Ibrahim, MD
• Zakiyyah Thara Ibrahim
• Francis Ifedayo Ibukun, MBCHB, MHS.
• Icare Therapy MD LLC
• Sarah Jane Ice, PT
• Michael J. Ichniowski, M.D.
• ICU Inc
• Icwc Recovery Inc

• Developmental Disabilities Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Developmental Disabilities Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.