Organization Active NPI

Icommunicare, LLC

  • Speech-Language Pathologist
  • Chapel Hill, NC
National Provider Identifier
1598224057
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ICOMMUNICARE, LLC
Practice address
105 Orlando PL
Chapel Hill, NC 27516-8411
Phone
(917) 648-7558
NPI assigned
Mar 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Abbe G Simon, M.A.CCC-SLPNPI 1245652023
Title
Owner
Phone
(917) 648-7558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

105 Orlando PL
Chapel Hill, NC 27516-8411

Mailing address

105 Orlando PL
Chapel Hill, NC 27516-8411
Phone (917) 648-7558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190415000555 NC Part B Supplier - Clinic/Group Practice 0446591796 Receives reassigned benefits from 1 practitioner
Practice locations: Chapel Hill, NC

National Provider Directory

National Provider Directory

Locations

180 Providence Rd
Ste 1A
Chapel Hill, NC 27514
Phone (919) 593-0577

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1598224057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ORLANDO PL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275168411",
            "telephone_number": "917-648-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ORLANDO PL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275168411",
            "telephone_number": "917-648-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICOMMUNICARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "ABBE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-648-7558",
        "authorized_official_credential": "M.A.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.