NPIMap

Organization Active NPI

Icare Health Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kingman, AZ
National Provider Identifier
1710789706
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
ICARE HEALTH SERVICES LLC
Practice address
4272 E Cane Ranch Rd
Kingman, AZ 86401
Phone
(202) 717-2541
NPI assigned
Mar 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

4272 E Cane Ranch Rd
Kingman, AZ 86401

Mailing address

10851 N Black Canyon Hwy Ste 700
Phoenix, AZ 85029-4788
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": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1710789706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10851 N BLACK CANYON HWY STE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294788",
            "telephone_number": "202-717-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4272 E CANE RANCH RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86401",
            "telephone_number": "202-717-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-25",
        "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": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.