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Organization

ICARE HEALTH SERVICES LLC

Active
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Organization

ICARE HEALTH SERVICES LLC

Active
Other names
iCare Health Services LLC
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA FABULUJE (PRESIDENT/CEO)
(202) 717-2541
Entity
Organization

Contact information

Practice address
10851 N BLACK CANYON HWY STE 700, PHOENIX, AZ 85029-4788
(602) 848-3811
Mailing address
3006 W DONNER DR, PHOENIX, AZ 85041-6345
(202) 717-2541

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
261QC1500X
Community Health Clinic/Center
261QD1600X
Developmental Disabilities Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
385H00000X
Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1487248845
NPI
AZ
05
378202
AZ
Enumeration date
02/25/2021
Last updated
07/03/2026
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