Organization Active NPI

Icare Services, Inc.

  • In Home Supportive Care Agency
  • Dallas, TX
National Provider Identifier
1396017505
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ICARE SERVICES, INC.
Practice address
5103 Bradford Dr
Dallas, TX 75235-8310
Phone
(469) 449-9999
Fax
(469) 449-9999
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Ruddy Enriquez
Title
Ceo
Phone
(469) 449-9999

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X Primary
Point of Service 305S00000X

Addresses

Primary practice location

5103 Bradford Dr
Dallas, TX 75235-8310

Mailing address

5103 Bradford Dr
Dallas, TX 75235-8310
Phone (469) 449-9999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1396017505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 BRADFORD DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752358310",
            "telephone_number": "469-449-9999",
            "fax_number": "469-449-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 BRADFORD DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752358310",
            "telephone_number": "469-449-9999",
            "fax_number": "469-449-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "RUDDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-449-9999"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.