Organization Active NPI

Icare Family Health Services LLC

  • Home Health Agency
  • Glendale, AZ
National Provider Identifier
1841509072
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ICARE FAMILY HEALTH SERVICES LLC
Practice address
20255 N 61St LN
Glendale, AZ 85308-7600
Phone
(623) 229-1408
Fax
(602) 358-7209
NPI assigned
Oct 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Mr. Dennis Boboc
Title
President
Phone
(623) 229-1408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AZ Primary

Addresses

Primary practice location

20255 N 61St LN
Glendale, AZ 85308-7600

Mailing address

20255 N 61St LN
PO Box 10115
Glendale, AZ 85308-7600
Phone (623) 229-1408

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1841509072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20255 N 61ST LN",
            "address_2": "PO BOX 10115",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087600",
            "telephone_number": "623-229-1408",
            "fax_number": "602-358-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20255 N 61ST LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087600",
            "telephone_number": "623-229-1408",
            "fax_number": "602-358-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE FAMILY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "BOBOC",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-229-1408",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.