ICARE PRACTITIONERS AND NURSING CONCIERGE INC – NPI #1740900729
Clinic/Center

ICARE PRACTITIONERS AND NURSING CONCIERGE INC is an AHC clinic located in MONTCLAIR, CA. NPPES has assigned the NPI number 1740900729 to ICARE PRACTITIONERS AND NURSING CONCIERGE INC on August 31, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 2 years ago on May 23, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ICARE PRACTITIONERS AND NURSING CONCIERGE INC below.

NPI Profile for
ICARE PRACTITIONERS AND NURSING CONCIERGE INC

NPI Number
1740900729
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ICARE PRACTITIONERS AND NURSING CONCIERGE INC
Primary location
9655 MONTE VISTA AVE STE 402A
MONTCLAIR, CA 91763-2238
Phone: (909) 701-8649 Fax:
1 Other location(s):
699 W Rialto Ave Unit B
San Bernardino, CA 92410-3327
Phone: (312) 728-3509
Fax: (312) 312-7364
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RERHIME UKU
PMHNP-BC
Phone: (909) 701-8649
Updated
Certification Date
May 23, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
363LP0808X
- Nurse Practitioner / Psychiatric/Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.