Icon Community Services, Inc in Alexandria - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Icon Community Services, Inc - NPI 1386727329
Icon Community Services, Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Alexandria, Virginia. Icon Community Services, Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Icon Community Services, Inc is 1386727329. The last update date is 2020-08-22.
Icon Community Services, Inc's current location address is 1240 N Pitt St, Alexandria, Virginia. You can contact this provider via phone number 7035484048 and fax number 7035480198. The mailing address for Icon Community Services, Inc is 1240 N Pitt St, Alexandria, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Icon Community Services, Inc |
|---|---|
| Address | 1240 N Pitt St, Alexandria, Virginia |
| Phone Number | 7035484048 |
| Fax Number | 7035480198 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Fitzgerald M Robyn |
| Telephone Number | 7035484048 |
NPI Number Detail
| NPI Number | 1386727329 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1240 N Pitt St |
|---|---|
| City | Alexandria |
| State | Virginia (VA) |
| Post Code | 223145600 |
| Phone Number | 7035484048 |
| Fax Number | 7035480198 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 6303001 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Icon Community Services, Inc?
The Icon Community Services, Inc has been issued the NPI (National Provider Identifier) 1386727329 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Icon Community Services, Inc's facilities are situated?
The facilities of Icon Community Services, Inc are physically located at the following address: 1240 N Pitt St, Alexandria, VA, 223145600.
What is Icon Community Services, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Icon Community Services, Inc's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.
On what date did the Icon Community Services, Inc receive its 1386727329 assignment from the Centers for Medicare & Medicaid Services?
The Icon Community Services, Inc was assigned its 1386727329 by the Centers for Medicare & Medicaid Services on 2006-10-23.
When was the information pertaining to Icon Community Services, Inc most recently updated or revised?
The details related to Icon Community Services, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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