Icare Management Services Inc

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

ICARE MANAGEMENT SERVICES INC

Doing business as

iCARE MANAGEMENT

Practice address

1111 W Robinhood Dr
Stockton, CA 95207-5626

Phone

(209) 406-6610

Fax

(209) 451-4997

NPI assigned

Mar 12, 2015

Last updated

Mar 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Praxedes B Demesa, MPA, NHA, BSMT

Title

President

Phone

(209) 406-6610

Specialties & licenses 1

Addresses

Other names 1

• iCARE MANAGEMENT Doing business as

Locations

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1477946671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W ROBINHOOD DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075626",
            "telephone_number": "209-406-6610",
            "fax_number": "209-451-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W ROBINHOOD DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075626",
            "telephone_number": "209-406-6610",
            "fax_number": "209-451-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE MANAGEMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "DEMESA",
        "authorized_official_first_name": "PRAXEDES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-406-6610",
        "authorized_official_credential": "MPA, NHA, BSMT"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iCARE MANAGEMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Supports Brokerage Agency in Stockton, CA
• Providers in Stockton, CA by specialty
• Supports Brokerage Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.