NPIMap

Organization Active NPI

Icare Health Services LLC

  • Community/Behavioral Health Agency
  • Laveen, AZ
National Provider Identifier
1932798931
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ICARE HEALTH SERVICES LLC
Practice address
5802 S 53Rd LN
Laveen, AZ 85339-2412
Phone
(480) 548-7433
NPI assigned
Jan 13, 2021
Last updated
Feb 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Authorized official

Name
Victoria Fabuluje
Title
Executive Program Director/Administ
Phone
(480) 548-7433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5802 S 53Rd LN
Laveen, AZ 85339-2412

Mailing address

3006 W Donner Dr
Phoenix, AZ 85041-6345
Phone (708) 953-5513

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laveen Direct

National Provider Directory

National Provider Directory
Tax ID family
Icare Health Services LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614384000000",
    "number": "1932798931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 W DONNER DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416345",
            "telephone_number": "708-953-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 S 53RD LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392412",
            "telephone_number": "480-548-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A",
        "authorized_official_last_name": "FABULUJE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "EXECUTIVE PROGRAM DIRECTOR/ADMINIST",
        "authorized_official_telephone_number": "480-548-7433"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laveen",
            "affiliation": "N",
            "endpointDescription": "Laveen",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5802 S 53rd Ln",
            "city": "Laveen",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853392412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.