Active NPI
Icare Family Health Services LLC
- Home Health Agency
- Glendale, AZ
National Provider Identifier
1841509072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.