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NPI Code Detail

MEDICARE: ICARE HEALTH SERVICES LLC

MEDICARE: ICARE 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
1251B00000XCase Management Agency
2251E00000XHome Health Agency
3253Z00000XIn Home Supportive Care Agency
4385H00000XRespite Care
5261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
6261QD1600XDevelopmental Disabilities Clinic/Center
7251C00000XDevelopmentally Disabled Services Day Training Agency
8261QC1500XCommunity Health Clinic/Center
9251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11487248845OTHERAZNPI

General Provider Information

NPI Number : 1487248845
Entity Type Code : Organization
Provider Name (Legal Business Name) : ICARE HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 3006 W DONNER DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85041-6345
Country : US
Telephone Number : 202-717-2541
Fax Number :
Provider Business Practice Location Address
First Line : 3006 W DONNER DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85041-6345
Country : US
Telephone Number : 202-717-2541
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : VICTORIA FABULUJE
Credential :
Telephone Number : 202-717-2541
Provider Enumeration Date : 02/25/2021
Last Update Date : 02/07/2026

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Directions to “ICARE HEALTH SERVICES LLC ” Practice Location

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