ICON COMMUNITY SERVICES INC NPI 1386727329

NPI Information

NPI: 1386727329
Provider Name: ICON COMMUNITY SERVICES, INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1240 N PITT ST
SUITE LL
ALEXANDRIA, VA
ZIP 22314
Phone: (703) 548-4048
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ICON COMMUNITY SERVICES, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Alexandria, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ICON COMMUNITY SERVICES, INC NPI is 1386727329. The provider is registered as an organization entity type.

The provider's business location address is:

1240 N PITT ST
SUITE LL
ALEXANDRIA, VA
ZIP 22314-600
Phone: (703) 548-4048
Fax: (703) 548-0198

The provider's authorized official is Robyn M Fitzgerald .
The authorized official title is Executive Director and has the following contact phone number (703) 548-4048.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		06303001	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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