NPI 1053272112
Icare Group Home LLC
Practice location
- Address
- 4174 Londonderry Dr, Indianapolis, IN 46221-2935
- Phone
- (614) 202-6679
Authorised official
- Name
- Ifrah Guled Ibrahim
- Title
- Owner
- Phone
- (614) 202-6679
Registered specialties (2)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
In Home Supportive Care Agency
Registry record
- NPI
- 1053272112
- Entity type
- Organization
- NPI issued
- 19 Nov 2025
- Record last updated
- 19 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.