Provider Demographics
NPI:1457224719
Name:ICARE HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:ICARE HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:ROGALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:616-329-8074
Mailing Address - Street 1:1440 SIERRA AVE NW
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:MI
Mailing Address - Zip Code:49534-2242
Mailing Address - Country:US
Mailing Address - Phone:616-329-8074
Mailing Address - Fax:
Practice Address - Street 1:1440 SIERRA AVE NW
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:MI
Practice Address - Zip Code:49534-2242
Practice Address - Country:US
Practice Address - Phone:616-329-8074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health