NPIMap

Organization Active NPI

Icare Health Services LLC

  • Community/Behavioral Health Agency
  • Prescott Valley, AZ
National Provider Identifier
1639869241
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ICARE HEALTH SERVICES LLC
Practice address
4330 N Agua Fria Dr
Prescott Valley, AZ 86314-5401
Phone
(928) 772-4456
NPI assigned
May 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Victoria Fabuluje
Title
President/Ceo
Phone
(202) 717-2541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4330 N Agua Fria Dr
Prescott Valley, AZ 86314-5401

Mailing address

3006 W Donner Dr
Phoenix, AZ 85041-6345
Phone (202) 717-2541

National Provider Directory

National Provider Directory
Tax ID family
Icare Health Services LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1639869241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 W DONNER DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416345",
            "telephone_number": "202-717-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 N AGUA FRIA DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863145401",
            "telephone_number": "928-772-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "FABULUJE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "202-717-2541"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.