Icon Healthcare Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ICON HEALTHCARE SERVICES INC

Practice address

1420 Taylor Dr
Mesquite, TX 75149-6956

Phone

(214) 566-1633

Fax

(214) 594-8438

NPI assigned

Feb 2, 2022

Organization subpart

No

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

Authorized official

Name

Ude Okonwu

Title

Administrator

Phone

(214) 566-1633

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1891448536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 TAYLOR DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496956",
            "telephone_number": "214-566-1633",
            "fax_number": "214-594-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 TAYLOR DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496956",
            "telephone_number": "214-566-1633",
            "fax_number": "214-594-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "OKONWU",
        "authorized_official_first_name": "UDE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-566-1633"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I Devine-Care Medical DME & Supply
• Carolina Ibarra
• Kasandra Ibarra
• Shancie Ibegbu, RN, LVN
• Michael Chiji Ibeke, NURSE
• Lawson O Idon
• Naqi Idris, M.D.
• Darlington Chidera Igbokwe
• Comfort Ighile
• John Patrick Ignalaga

• Home Health Agency in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.