MEDICARE: AICON FAMILY CARE HOME LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1518804095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AICON FAMILY CARE HOME LLC

Provider Business Mailing Address
First Line	:	16261 FM 529 RD STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-1433
Country	:	US
Telephone Number	:	281-704-2922
Fax Number	:

Provider Business Practice Location Address
First Line	:	16261 FM 529 RD STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-1433
Country	:	US
Telephone Number	:	281-704-2922
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	KINDNESS CHUKWUKERE
Credential	:
Telephone Number	:	281-704-2922

Provider Enumeration Date	:	05/01/2026
Last Update Date	:	05/01/2026

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