MEDICARE: INTENSE CARE SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251F00000X	Home Infusion Agency
3	251G00000X	Community Based Hospice Care Agency
4	251J00000X	Nursing Care Agency
5	251K00000X	Public Health or Welfare Agency
6	251B00000X	Case Management Agency
7	174200000X	Meals Provider
8	177F00000X	Lodging Provider
9	251S00000X	Community/Behavioral Health Agency
10	251X00000X	Supports Brokerage Agency
11	252Y00000X	Early Intervention Provider Agency
12	253J00000X	Foster Care Agency
13	253Z00000X	In Home Supportive Care Agency
14	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1700660792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTENSE CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	452 E 138TH ST # 1002
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10454-3002
Country	:	US
Telephone Number	:	518-660-8979
Fax Number	:	518-619-8894

Provider Business Practice Location Address
First Line	:	452 E 138TH ST # 1002
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10454-3002
Country	:	US
Telephone Number	:	518-660-8979
Fax Number	:	518-619-8894

Authorized Official
Title or Position	:	CEO
Name	:	DAISHA MARTINEZ
Credential	:	BSN, RN
Telephone Number	:	518-660-8979

Provider Enumeration Date	:	08/22/2023
Last Update Date	:	08/22/2023

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Directions to “INTENSE CARE SERVICES, LLC ” Practice Location

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