Healthcare Provider Details

I. General information

NPI: 1053972802
Provider Name (Legal Business Name): ICARE NOW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2019
Last Update Date: 10/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5807 EADS ST NE
WASHINGTON DC
20019-6924
US

IV. Provider business mailing address

5408 TAYLOR ST
BLADENSBURG MD
20710-1550
US

V. Phone/Fax

Practice location:
  • Phone: 240-461-1835
  • Fax:
Mailing address:
  • Phone: 202-413-2189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. SYLVESTER OCHIENG
Title or Position: CEO
Credential: MS
Phone: 240-461-1835