ICE CAP REHAB, LLC


Address: 10451 W Palmeras Dr, Suite 237w, Sun City, AZ 85373-2011
Phone: 6239331896

ICE CAP REHAB, LLC (NPI# 1629212691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629212691
Entity Type Organization
Organization Name ICE CAP REHAB, LLC
Practice Address 10451 W Palmeras Dr
Suite 237w
Sun City
AZ 85373-2011
Mailing Address 10451 W Palmeras Dr
Suite 115
Sun City
AZ 85373-2011
Practice Telephone 6239331896
Practice Fax Number 6239334015
Mailing Telephone 6239331896
Mailing Fax Number 6239334015
Enumeration Date 2009-04-22
Last Update Date 2009-11-18
Authorized Official Name JENNETH C PANALIGAN (MEMBER)
Authorized Official Telephone 6303698450
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ BLUE CROSS BLUE SHIELD 1629212691 01

Office Location

Street Address 10451 W PALMERAS DR
SUITE 237W
City SUN CITY
State AZ
Zip Code 85373-2011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821135708 Karla Ann Mueller-schrader Clinical Neuropsychologist 10451 W Palmeras Dr, Suite 126c, Sun City, AZ 85373-2011 2007-01-31
1356709356 White Tanks Counseling Pllc Counselor 10451 W Palmeras Dr, 211 E, Sun City, AZ 85373-2011 2016-02-04
1528462512 Dawna Snider Counselor 10451 W Palmeras Dr, Sun City, AZ 85373-2011 2014-10-20
1033483326 Christie Payne Counselor 10451 W Palmeras Dr, Suite 221 E, Sun City, AZ 85373-2011 2012-03-03
1124390265 Kelly Cassady Counseling Services LLC Marriage & Family Therapist 10451 W Palmeras Dr, Suite 105, Sun City, AZ 85373-2011 2012-02-06
1104101773 Kelly Cassady Marriage & Family Therapist 10451 W Palmeras Dr, Suite 221 E, Sun City, AZ 85373-2011 2011-10-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295372936 Pacifica Sl Phoenix LLC Assisted Living Facility 17207 North Boswell Boulevard, Sun City, AZ 85373 2019-12-02
1427419894 E&a Solutions Clinic/Center 24656 North Lake Pleasant Parkway, St 103-288, Peoria, AZ 85373 2016-03-14
1902010960 Anna Paulette Baker Counselor 11846 W. Jessie Lane, Sun City, AZ 85373 2007-05-09
1699831412 Josie Martinez Respite Care 11967 W. Villa Chula Ln., Sun City, AZ 85373 2006-12-28
1851693527 Andoloris Medical, Pllc Durable Medical Equipment & Medical Supplies 10830 W Acacia Dr, Sun City, AZ 85373 2010-11-30
1841406857 Trinity Angelyn Hudson Speech-Language Pathologist 17220 N Boswell Blvd, Ste L200, Sun City, AZ 85373 2007-05-15
1356555650 Sara Elizabeth Keller Physical Medicine & Rehabilitation 17220 N Boswell Blvd, Ste L200, Sun City, AZ 85373 2007-05-09
1851620272 Joseph Curtis Kovacs Emergency Medicine 19812 N 99th Dr, Sun City, AZ 85373-1002 2009-12-14
1649808874 Justin Ryan Schwarting Nurse Practitioner 19808 N Cherry Tree Ln, Sun City, AZ 85373-1022 2020-04-01
1548684301 Kay Marie Brittingham Occupational Therapist 19601 N Welk Dr, Sun City, AZ 85373-1054 2014-02-13
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942777073 Bhsm Rehabilitation, LLC Clinic/Center 10503 W Thunderbird Blvd Ste 200, Sun City, AZ 85351-2746 2018-10-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336749399 Bhsm Rehabilitation, LLC Clinic/Center 9377 E Bell Rd Ste 349, Scottsdale, AZ 85260-1502 2020-10-29
1598383705 Bhsm Rehabilitation, LLC Clinic/Center 6380 E Grant Rd Ste 100, Tucson, AZ 85715-3884 2020-07-14
1063030732 Bhsm Rehabilitation, LLC Clinic/Center 1309 N Greenfield Rd Ste 102, Mesa, AZ 85205-4009 2020-07-09
1477176071 Bhsm Rehabilitation, LLC Clinic/Center 211 N Estrella Pkwy Unit 103-104, Goodyear, AZ 85338-9339 2020-05-19
1316574569 Bhsm Rehabilitation, LLC Clinic/Center 885 E Warner Rd, Gilbert, AZ 85296-3075 2020-03-26
1801429634 Bhsm Rehabilitation, LLC Clinic/Center 37200 North Gantzel Road, Suite 260, Queen Creek, AZ 85140 2020-02-20
1285271684 Bhsm Rehabilitation, LLC Clinic/Center 25101 N Lake Pleasant Pkwy Ste B-1340, Peoria, AZ 85383-1386 2019-12-04
1528535689 Bhsm Rehabilitation, LLC Clinic/Center 5605 W Eugie Ave Ste 212&215, Glendale, AZ 85304-1272 2018-10-26
1013404680 Continuum Recovery Center Clinic/Center 3710 W Greenway Rd Ste 104, Phoenix, AZ 85053-3729 2018-04-18
1497271431 Bhsm Rehabilitation, LLC Clinic/Center 3507 S Mercy Rd Ste A, Gilbert, AZ 85297-0441 2017-08-22
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Competitor

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City SUN CITY
Zip Code 85373

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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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