OrganizationActive
Icarus House LLC.
NPI 1164288809 · Community/Behavioral Health Agency · Buckeye, AZ
Icarus House LLC. is a Community/Behavioral Health Agency organization in Buckeye, AZ (NPI 1164288809).
Provider details
- NPI number
- 1164288809
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Donatus Agbakwu, Ceo/Manger(310) 621-2776
Specialties & taxonomies
Agencies
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23832 W Tonto St
Buckeye, AZ 85326-8139
Phone: (310) 621-2776
Street-level locationGet directions
Mailing address
1721 W Magdalena Ln
Phoenix, AZ 85041-7814
Registry dates
- Enumerated
- 2024-02-21
- Last updated
- 2024-02-21
- Certified
- 2024-02-21
Frequently asked questions
- What is Icarus House LLC.'s NPI number?
- Icarus House LLC.'s National Provider Identifier (NPI) is 1164288809, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Icarus House LLC.?
- Icarus House LLC. is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Icarus House LLC. located?
- Icarus House LLC.'s practice location on file with NPPES is 23832 W Tonto St, Buckeye, AZ 85326-8139.
- What is Icarus House LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Icarus House LLC. is (310) 621-2776.
- Who is the authorized official for Icarus House LLC.?
- The authorized official listed on Icarus House LLC.'s NPPES record is Donatus Agbakwu, Ceo/Manger. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Icarus House LLC.'s NPI active?
- Yes — Icarus House LLC.'s NPI (1164288809) is active in the NPPES registry as of the last update on 2024-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.