DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ICON COMMUNITY SERVICES, INC

MEDICARE: ICON COMMUNITY SERVICES, INC
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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility06303001VA

General Provider Information

NPI Number : 1386727329
Entity Type Code : Organization
Provider Name (Legal Business Name) : ICON COMMUNITY SERVICES, INC
Provider Business Mailing Address
First Line : 1240 N PITT ST
Second Line : SUITE LL
City : ALEXANDRIA
State : VA
Zip : 22314-5600
Country : US
Telephone Number : 703-548-4048
Fax Number : 703-548-0198
Provider Business Practice Location Address
First Line : 1240 N PITT ST
Second Line : SUITE LL
City : ALEXANDRIA
State : VA
Zip : 22314-5600
Country : US
Telephone Number : 703-548-4048
Fax Number : 703-548-0198
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. ROBYN M FITZGERALD
Credential :
Telephone Number : 703-548-4048
Provider Enumeration Date : 10/23/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1255264347 — SHEREE TOMASELLO
Practice Location Address:
1240 N PITT ST
ALEXANDRIA, VA
22314-5600
Practice Phone: 833-724-1512
Practice Fax:
1679754667 — DR. SEAN THOMAS WOODS D.C.
Practice Location Address:
1240 N PITT ST
ALEXANDRIA, VA
22314-5600
Practice Phone: 703-739-0456
Practice Fax:
1194992792 — DR. BARBARA REDDY HOAR M.D.
Practice Location Address:
1240 N PITT ST
ALEXANDRIA, VA
22314-5600
Practice Phone: 703-548-4333
Practice Fax: 703-998-2299
1477799625 — DR. SEAN T. WOODS, PLLC
Practice Location Address:
1240 N PITT ST , SUITE 100
ALEXANDRIA, VA
22314-5600
Practice Phone: 703-739-0456
Practice Fax:
1104068717 — ELITE SPORTS REHABILITATION P C
Practice Location Address:
1240 N PITT ST
ALEXANDRIA, VA
22314-5600
Practice Phone: 703-739-0456
Practice Fax: 703-739-0032
1891022455 — DR. CYNTHIA DURAKIS, PLLC
Practice Location Address:
1240 N PITT ST
ALEXANDRIA, VA
22314-5600
Practice Phone: 703-739-0456
Practice Fax:

Directions to “ICON COMMUNITY SERVICES, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.