ICARE HEALTH SERVICES LLC
NPI 1740026947
Clinic/Center - Mental Health (Including Community Mental Health Center) in Glendale, AZ

Active since July 08, 2024CLIA 03D2335656 · Waiver
5222 W GLENDALE AVE, GLENDALE, AZ 85301(623) 303-3813 Get Directions Write a Review

NPPES record last updated: February 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 7, 2026, Jul 25, 2024, Jul 8, 2024 (3 updates tracked since 2024).

About Icare Health Services Llc NPPES

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

ICARE HEALTH SERVICES LLC (NPI 1740026947) is a healthcare organization registered as a mental health (including community mental health center) in Glendale, Arizona and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through December 14, 2027 and lists Victoria Fabuluje, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1740026947
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameICARE HEALTH SERVICES LLC
Location Address5222 W GLENDALE AVEGlendale, AZ 85301-2604
Mailing Address3006 W Donner DrPhoenix, AZ 85041-6345 · (202) 717-2541
Organization SubpartNo
Authorized OfficialVictoria FabulujePresident/ceo · (202) 717-2541
Enumeration DateJuly 8, 2024
Last NPPES UpdateFebruary 7, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2026
✔ NPI 1740026947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
5222 W GLENDALE AVE, Glendale, AZ 85301

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Icare Health Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Icare Health Services LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1336916105
5501 N 19TH AVE
Phoenix, AZ 85015
(602) 755-8343
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1689441636
3411 N 16TH ST
Phoenix, AZ 85016
(602) 576-2873
✔ PECOS✔ Accepts Medicare8.1 mi
Nurse Practitioner
NPI 1366391252
1111 E MCDOWELL RD
Phoenix, AZ 85006
(623) 396-7847
✔ PECOS8.3 mi
Nurse Practitioner
NPI 1598569089
1111 E MCDOWELL RD
Phoenix, AZ 85006
(602) 839-9650
✔ PECOS8.3 mi
Nurse Practitioner
NPI 1023906997
250 S TOOLE AVE STE B
Tucson, AZ 85701
(520) 617-5500
✔ PECOS✔ Accepts Medicare115 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2335656

Icare Health Services LLC · Glendale, AZ
Active · expires Dec 14, 2027
CLIA Number03D2335656
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorOdilia S. Kwateng
Laboratory Phone(623) 303-3813
Laboratory LocationIcare Health Services LLC5222 W Glendale Ave, Glendale, AZ 85301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Icare Health Services LLC's NPI number?

The NPI number for Icare Health Services LLC is 1740026947. It was assigned to this organization in the NPPES registry on July 8, 2024.

Where is Icare Health Services LLC located?

Icare Health Services LLC is located at 5222 W Glendale Ave, Glendale, AZ 85301. The listed phone number is (623) 303-3813.

What is Icare Health Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Icare Health Services LLC enrolled in Medicare?

Yes. Icare Health Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Icare Health Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Icare Health Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Icare Health Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2335656) is associated with this NPI, valid through December 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Icare Health Services LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Icare Health Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Icare Health Services LLC was last updated on February 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.