ICARE PRIMARY CARE (NPI# 1316344658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316344658 |
| Entity Type | Organization |
| Organization Name | ICARE PRIMARY CARE |
| Other Organization Name | ICARE ADDICTION CLINIC |
| Practice Address |
550 Rush Creek Pkwy Suite B Liberty MO 64068-9608 |
| Practice Telephone | 8168754325 |
| Practice Fax Number | 8164079809 |
| Mailing Telephone | 8168754325 |
| Mailing Fax Number | 8164079809 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | JENNIFER PETERSEN (OFFICE MANAGER) |
| Authorized Official Telephone | 8168754325 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 20110330076 | MO | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHYSICIAN | 1699716910 | 01 |
| Other Name | Type Code |
|---|---|
| iCARE Addiction Clinic | Other Name - Individual/Organization |
| Street Address |
550 RUSH CREEK PKWY SUITE B |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-9608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159217 | Thomas Craig Boldry | Podiatrist | 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9608 | 2005-07-22 |
| 1699173757 | Icare Primary Care Clinic, LLC | Substance Abuse Rehabilitation Facility | 550 Rush Creek Pkwy, Suite B, Liberty, MO 64068-9608 | 2014-12-05 |
| 1396075743 | Matthew Dean Nielsen | Podiatrist | 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9604 | 2010-01-07 |
| 1194762930 | Liberty Medicine Specialists, Inc. | Internal Medicine | 550 Rush Creek Pkwy, Ste B, Liberty, MO 64068-9604 | 2006-06-01 |
| 1801896600 | Julie Jeanette Jones | Podiatrist | 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9608 | 2005-07-22 |
| 1629078407 | Paul Owen Gorby | Podiatrist | 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9608 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1831625771 | Mba Cds Services LLC | Exclusive Provider Organization | 1217 W Malone Ave, Sikeston, MO 63801-4350 | 2017-05-11 |
| 1740721836 | A Touch of Joy | Exclusive Provider Organization | 7305 Manchester Rd Ste C2, Saint Louis, MO 63143-3109 | 2017-03-09 |
| 1760934905 | Lasher Consumer Directed Services, LLC | Exclusive Provider Organization | 2138 Woodson Rd Ste 1, Saint Louis, MO 63114-5671 | 2016-11-03 |
| 1134578230 | Daydreams Day Spa | Exclusive Provider Organization | 1945 Mike Alan Dr, Washington, MO 63090-5557 | 2016-06-09 |
| 1821493545 | Red Eye LLC | Exclusive Provider Organization | 9717 Clayton Rd, Saint Louis, MO 63124-1503 | 2014-10-23 |
| 1083029516 | St. Louis College of Pharmacy | Exclusive Provider Organization | 14733 Piety Cir, Florissant, MO 63034-3133 | 2014-06-23 |
| 1639427214 | Agile In-home Care, L.L.C. | Exclusive Provider Organization | 320 Brookes Drive, Suite 207, Hazelwood, MO 63042 | 2012-08-29 |
| 1144596263 | Genesis Adult Care, LLC | Exclusive Provider Organization | 8420 Olive Blvd, Saint Louis, MO 63132-2816 | 2012-03-23 |
| 1235407198 | Exclusive Wellness Care | Exclusive Provider Organization | 680 Meadowgrass Dr, Florissant, MO 63033-3813 | 2011-12-07 |
| 1770886897 | Makeover for Life Outreach | Exclusive Provider Organization | 4730 Margaretta Ave Fl 2, Saint Louis, MO 63115-2151 | 2010-12-10 |
| Find all providers with the same taxonomy | ||||
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| 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.