Icare Health & Wellness Medical Center, LLC
Clinic/Center (Multi-Specialty)

Address: 5152 W.broad St, Suite A, Columbus, OH 43228
Phone: 6145004150

Icare Health & Wellness Medical Center, LLC (NPI# 1902304389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1902304389
Entity Type Organization
Organization Name ICARE HEALTH & WELLNESS MEDICAL CENTER, LLC
Practice Address 5152 W.broad St
Suite A
Columbus
OH 43228
Practice Telephone 6145004150
Practice Fax Number 6145004160
Mailing Address 5212 W Broad St Ste A
Columbus
OH 43228-1642
Mailing Telephone 6145004150
Mailing Fax Number 6145004160
Authorized Official Name Zainab Mohammed (CEO)
Authorized Official Telephone 6145004150
Authorized Official Credential RN
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2018-01-31
Last Update Date 2019-04-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 101YM0800X Counselor · Mental Health Behavioral Health & Social Service Providers
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians NC
No 2084A0401X Psychiatry & Neurology · Addiction Medicine Allopathic & Osteopathic Physicians
No 251S00000X Community/Behavioral Health Agencies
No 261QP2300X Clinic/Center · Primary Care Ambulatory Health Care Facilities
Yes 261QM1300X Clinic/Center · Multi-Specialty Ambulatory Health Care Facilities

Other Provider Identifier

State Identifier Issuer Type Code
OH 0282066 MEDICAID

Secondary Practice Locations

Address Telephone Number Fax Number
5200 Cleveland Ave Ste 1d, Columbus, OH 432314756 6145960299

Providers with the same name

NPI Name Taxonomy Address Enumeration
1255963708 Icare Health & Wellness Medical Center, LLC Counselor 3242 E Main St, 2nd Floor, Columbus, OH 43213 2020-02-12

Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Office Location

Street Address 5152 W.BROAD ST
SUITE A
City COLUMBUS
State OH
Zip Code 43228

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538788146 Colin Rogers Student in an Organized Health Care Education/Training Program Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 2020-04-14
1093343899 Cameron Alvin Gachett Student in an Organized Health Care Education/Training Program Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 2020-03-29
1407483431 Zachary Werner Student in an Organized Health Care Education/Training Program Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 2020-03-27
1831684232 Medcare Clinic LLC Clinic/Center 4125 W Broad St, Columbus, OH 43228 2018-06-27
1952893950 Midland Medical Group, LLC Family Medicine 1000 Georgesville Rd, Columbus, OH 43228 2018-06-05
1619478336 Charles Norris Fennie Student in an Organized Health Care Education/Training Program Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 2018-02-27
1033610092 Cecelia Campos Counselor 4998 W Broad St Ste 104, Columbus, OH 43228 2018-02-26
1104334523 Inner Health Chiropractic, Inc Chiropractor 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 2018-01-19
1205363777 Optum Infusion Services 500, Inc. Durable Medical Equipment & Medical Supplies 2182 Dividend Drive, Columbus, OH 43228 2017-05-16
1619331394 Rebecca Rose Kaliher Specialist/Technologist 2685 River Oaks Dr, Columbus, OH 43228 2016-04-08
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Competitor

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City COLUMBUS
Zip Code 43228

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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