MEDICARE: IC NURSING 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
1	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669111944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IC NURSING SERVICES INC

Provider Business Mailing Address
First Line	:	7860 W 4TH LN
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-4229
Country	:	US
Telephone Number	:	305-978-2972
Fax Number	:	305-726-0087

Provider Business Practice Location Address
First Line	:	15315 NW 60TH AVE STE D
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2440
Country	:	US
Telephone Number	:	786-747-4776
Fax Number	:	305-726-0087

Authorized Official
Title or Position	:	OWNER
Name	:	ILIANA CAMEJO
Credential	:	APRN
Telephone Number	:	305-978-2972

Provider Enumeration Date	:	06/03/2022
Last Update Date	:	04/03/2025

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Directions to “IC NURSING SERVICES INC ” Practice Location

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