Icare Private Duty, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ICARE PRIVATE DUTY, INC.

Doing business as

Safe Harbor Home Care

Practice address

3750 Convoy St Ste 220
San Diego, CA 92111-3741

Phone

(858) 634-1012

NPI assigned

Dec 6, 2018

Organization subpart

No

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

Authorized official

Name

Amber L Tueller

Title

Secretary

Phone

(208) 207-2726

Specialties & licenses 1

Addresses

Other names 1

• Safe Harbor Home Care Doing business as

Locations

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1912478686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113741",
            "telephone_number": "858-634-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113741",
            "telephone_number": "858-634-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE PRIVATE DUTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Harbor Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Safe Harbor Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fawzy Ahmed Ibrahim, DPM
• Madonna Ibrahim, CPO
• Samira Mohamed Ibrahim
• Sarah Kamil Ibrahim
• Ibreathe, Inc.
• Icare-USA LLC
• Lecia Icari
• Vanessa Icazbalceta-Soto
• Eden Shanay Ice
• William Ice

• In Home Supportive Care Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.