Provider Demographics
NPI:1962640482
Name:ICON COMMUNITY HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:ICON COMMUNITY HEALTH SERVICES, LLC
Other - Org Name:ICON HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:281-589-8877
Mailing Address - Street 1:10909 SABO RD
Mailing Address - Street 2:SUITE #118
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2520
Mailing Address - Country:US
Mailing Address - Phone:713-436-8400
Mailing Address - Fax:713-436-8408
Practice Address - Street 1:2370 S DAIRY ASHFORD RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5718
Practice Address - Country:US
Practice Address - Phone:713-436-8400
Practice Address - Fax:713-436-8408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-22
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health