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
3006 W DONNER DR, PHOENIX, AZ 85041-6345
(202) 717-2541
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)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487248845
NPI
AZ
05
—
378202
—
AZ
Enumeration date
02/25/2021
Last updated
02/10/2026
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