Active NPI
Icare Health Systems LLC
- Intellectual Disabilities Intermediate Care Facility
- Lexington, KY
National Provider Identifier
1861884611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- ICARE HEALTH SYSTEMS LLC
- Practice address
- 2993 Polo Club Blvd
Lexington, KY 40509-8445 - Phone
- (859) 312-7003
- NPI assigned
- Mar 3, 2015
- 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
- Maynard George
- Title
- President
- Phone
- (859) 312-7003
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
2993 Polo Club Blvd
Lexington, KY 40509-8445
Mailing address
PO Box 522
Stafford, VA 22555-0522
Phone (540) 300-1160
Other names 1
- ICARE GROUP HOMES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425340800000",
"number": "1861884611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 522",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225550522",
"telephone_number": "540-300-1160",
"fax_number": "877-904-3069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2993 POLO CLUB BLVD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405098445",
"telephone_number": "859-312-7003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICARE HEALTH SYSTEMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-03",
"last_updated": "2015-03-03",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "MAYNARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "859-312-7003"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ICARE GROUP HOMES",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.