Provider Demographics
NPI:1679031645
Name:ICARE HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ICARE HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BONNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-940-6967
Mailing Address - Street 1:150 RIVERSIDE PKWY STE 213
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-1094
Mailing Address - Country:US
Mailing Address - Phone:540-940-6967
Mailing Address - Fax:540-940-6963
Practice Address - Street 1:150 RIVERSIDE PKWY STE 213
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-1094
Practice Address - Country:US
Practice Address - Phone:540-940-6967
Practice Address - Fax:540-940-6963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health