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NPI Code Detail

MEDICARE: ICON COMMUNITY HEALTH SERVICES, LLC

MEDICARE: ICON COMMUNITY HEALTH SERVICES, 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1962640482
Entity Type Code : Organization
Provider Name (Legal Business Name) : ICON COMMUNITY HEALTH SERVICES, LLC
Provider Business Mailing Address
First Line : 2370 S DAIRY ASHFORD RD STE 118
Second Line :
City : HOUSTON
State : TX
Zip : 77077-5718
Country : US
Telephone Number : 713-436-8400
Fax Number : 713-436-8408
Provider Business Practice Location Address
First Line : 2370 S DAIRY ASHFORD RD
Second Line :
City : HOUSTON
State : TX
Zip : 77077-5718
Country : US
Telephone Number : 713-436-8400
Fax Number : 713-436-8408
Authorized Official
Title or Position : ADMINISTRATOR
Name : ROBIN GEORGE
Credential : PTA
Telephone Number : 281-245-9977
Provider Enumeration Date : 01/22/2009
Last Update Date : 12/10/2025

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Directions to “ICON COMMUNITY HEALTH SERVICES, LLC ” Practice Location

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