Icf Healthcare, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

ICF HEALTHCARE, INC.

Practice address

325 S Boyle Ave
Los Angeles, CA 90033-3812

Phone

(323) 263-9655

Fax

(323) 263-2721

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Treasurer

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• Keiro Senior Living - ICF Doing business as

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1457767568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S BOYLE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900333812",
            "telephone_number": "323-263-9655",
            "fax_number": "323-263-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S BOYLE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900333812",
            "telephone_number": "323-263-9655",
            "fax_number": "323-263-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICF HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keiro Senior Living - ICF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nuha Abdalla Khalil Ibrahim, MD
• Sameer Ibrahim
• Icardio Corporation a Medical Corporation
• Iceberg Health Care Inc.
• Kathryn S. Icenhower, PHD, LCSW
• Sara Noelani Iches
• Stephanie Gregorio Ichikawa, PHARMD
• Megan Christina Ichinose
• Anne Marie Ichiuji, MD
• Brynne Ariye Ichiuji

• Nursing Facility/Intermediate Care Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.