Provider Demographics
NPI:1487461604
Name:I CARE LLC
Entity type:Organization
Organization Name:I CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:KULICS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-384-2255
Mailing Address - Street 1:1751 E DESERT INN RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-3201
Mailing Address - Country:US
Mailing Address - Phone:702-384-2255
Mailing Address - Fax:
Practice Address - Street 1:1751 E DESERT INN RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-3201
Practice Address - Country:US
Practice Address - Phone:702-384-2255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care