Immigrant Community Development Center Inc

Primary specialty

Occupational Health Nurse PractitionerTaxonomy code 363LX0106X

Legal business name

IMMIGRANT COMMUNITY DEVELOPMENT CENTER INC

Practice address

299 Carew St Ste 134
Springfield, MA 01104-2361

Phone

(413) 291-9020

NPI assigned

Mar 30, 2026

Organization subpart

No

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

Authorized official

Name

Rawan Ebrahim, REGISTER NURSE

Title

Officer

Phone

(413) 291-9020

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Immigrant Community Development Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Immigrant Community Development Center Inc

  • Voluntary or Charitable Agency
  • Springfield, MA
  • NPI 1871246769
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdillahi S Hussein

  • Non-emergency Medical Transport (VAN)
  • Springfield, MA
  • NPI 1598430324
  NPD

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1366382541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BEAUDRY ST",
            "city": "INDIAN ORCHARD",
            "state": "MA",
            "postal_code": "011511704",
            "telephone_number": "413-291-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CAREW ST STE 134",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042361",
            "telephone_number": "413-291-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMIGRANT COMMUNITY DEVELOPMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "EBRAHIM",
        "authorized_official_first_name": "RAWAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "413-291-9020",
        "authorized_official_credential": "REGISTER NURSE"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AH@ICDCSERVICES.ORG",
            "affiliation": "N",
            "endpointDescription": "AH@ICDCSERVICES.ORG",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "299 Carew St Ste 134",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011042361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eghosa Igbinobaro
• Habibatu Omorovbiye Ighile, MD
• Rose I Ihedigbo
• Aishia Ike
• Imaging Consultants Inc
• Immigrant Community Development Center Inc
• Sarah Indomenico, BSW
• Justin Infante
• Isabella Inglese
• Lauren Danielle Ingold-Smith, DNP

• Occupational Health Nurse Practitioner in Springfield, MA
• Providers in Springfield, MA by specialty
• Occupational Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.