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ICARUS HOUSE LLC.
NPI 1164288809
Community/Behavioral Health in Buckeye, AZ

Active since February 21, 2024
23832 W TONTO ST, BUCKEYE, AZ 85326(310) 621-2776 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Icarus House Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICARUS HOUSE LLC. (NPI 1164288809) is a healthcare organization registered as a community/behavioral health in Buckeye, Arizona and active in the NPI registry since February 2024. The organization lists Donatus Agbakwu, Ceo/manger, as its authorized official.

NPPES Registry Identity

NPI1164288809
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameICARUS HOUSE LLC.
Location Address23832 W TONTO STBuckeye, AZ 85326-8139
Mailing Address1721 W Magdalena LnPhoenix, AZ 85041-7814 · (310) 621-2776
Phone(310) 621-2776
Organization SubpartNo
Authorized OfficialDonatus AgbakwuCeo/manger · (310) 621-2776
Enumeration DateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1164288809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
23832 W TONTO ST, Buckeye, AZ 85326
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Icarus House LLC.'s NPI number?

The NPI number for Icarus House LLC. is 1164288809. It was assigned to this organization in the NPPES registry on February 21, 2024.

Where is Icarus House LLC. located?

Icarus House LLC. is located at 23832 W Tonto St, Buckeye, AZ 85326. The listed phone number is (310) 621-2776.

What is Icarus House LLC.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Icarus House LLC. was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.