Ican Health Care & Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ICAN HEALTH CARE & SERVICES LLC

Practice address

4225 W Glendale Ave
Suite a-100/101
Phoenix, AZ 85051-8194

Phone

(480) 851-8323

Fax

(623) 207-9564

NPI assigned

Mar 25, 2022

Last updated

Nov 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Isaiah Bankole

Title

Coe/Co-Owner

Phone

(602) 622-2618

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1932859600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 W GLENDALE AVE",
            "address_2": "STE A-100/101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518194",
            "telephone_number": "480-851-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 W GLENDALE AVE",
            "address_2": "SUITE A-100/101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518194",
            "telephone_number": "480-851-8323",
            "fax_number": "623-207-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAN HEALTH CARE & SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "BANKOLE",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_title_or_position": "COE/CO-OWNER",
        "authorized_official_telephone_number": "602-622-2618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rawan Ibrahim
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• Ibsen Perez Santini MD PC
• Folahan Adesola Ibukun, MBCHB, MPH
• Ican America
• Icare Complete Health LLC
• Icare Health Services LLC
• Icare Health Services LLC
• Icare Therapy Az LLC
• Kristi Kristine Ice, PA-C

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.