Healthcare Provider Details

I. General information

NPI: 1962640482
Provider Name (Legal Business Name): ICON COMMUNITY HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2009
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2370 S DAIRY ASHFORD RD
HOUSTON TX
77077-5718
US

IV. Provider business mailing address

2370 S DAIRY ASHFORD RD STE 118
HOUSTON TX
77077-5718
US

V. Phone/Fax

Practice location:
  • Phone: 713-436-8400
  • Fax: 713-436-8408
Mailing address:
  • Phone: 713-436-8400
  • Fax: 713-436-8408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROBIN GEORGE
Title or Position: ADMINISTRATOR
Credential: PTA
Phone: 281-245-9977