Healthcare Provider Details

I. General information

NPI: 1154369858
Provider Name (Legal Business Name): I-CARE SYSTEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 10/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10103 FONDREN RD STE 370
HOUSTON TX
77096-4661
US

IV. Provider business mailing address

10103 FONDREN RD STE 370
HOUSTON TX
77096-4661
US

V. Phone/Fax

Practice location:
  • Phone: 713-779-7992
  • Fax: 713-779-7399
Mailing address:
  • Phone: 713-779-7992
  • Fax: 713-779-7399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number005097
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MR. VICTOR O ANSAH
Title or Position: ADMINISTRATOR
Credential:
Phone: 713-779-7992