MEDICARE: ICARE COMMUNITY SERVICE 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
1	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1548641434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ICARE COMMUNITY SERVICE LLC

Provider Business Mailing Address
First Line	:	5813 OAKMONT LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-2003
Country	:	US
Telephone Number	:	817-933-2411
Fax Number	:

Provider Business Practice Location Address
First Line	:	5813 OAKMONT LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-2003
Country	:	US
Telephone Number	:	817-933-2411
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TUAN NGOC PHAM
Credential	:
Telephone Number	:	817-933-2411

Provider Enumeration Date	:	06/16/2015
Last Update Date	:	06/16/2015

Similar Medicare Providers

1134841505 — KRYSTLE BORDLEY LCSW
Practice Location Address:

2003 8TH AVE # 1042
FORT WORTH, TX
76110-1810

Practice Phone: 469-986-4992
Practice Fax:

1336947399 — JOANNE GARCIA
Practice Location Address:

2003 KEARNEY AVE
FORT WORTH, TX
76106-5035

Practice Phone: 807-600-4167
Practice Fax:

1629028808 — TLC OXYGEN & MEDICAL SUPPLIES, INC.
Practice Location Address:

2003 W CYPRESS CREEK RD STE 104
FORT LAUDERDALE, FL
33309-1834

Practice Phone: 844-402-2768
Practice Fax:

1407806102 — TRENTON OSTEOPATHIC RADIOLOGY ASSOCIATES, PC
Practice Location Address:

1676 FORT ST
TRENTON, MI
48183-2003

Practice Phone: 734-362-0900
Practice Fax: 734-362-0911

1346253721 — DR. LANE BERNARD SCHEIBER II MD
Practice Location Address:

1680 FORT ST , SUITE A
TRENTON, MI
48183-2003

Practice Phone: 734-671-5500
Practice Fax: 734-671-5601

1619058906 — PATRICK LAWRENCE BRYANT D.D.S
Practice Location Address:

3427 FORT MEADE RD
LAUREL, MD
20724-2003

Practice Phone: 301-776-4600
Practice Fax: 301-776-3649

Directions to “ICARE COMMUNITY SERVICE LLC ” 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.