Icare Primary Care Clinic, LLC
NPI 1699173757 · Substance Abuse Rehabilitation Facility · Liberty, MO
Icare Primary Care Clinic, LLC is a Substance Abuse Rehabilitation Facility organization in Liberty, MO (NPI 1699173757).
Provider details
- NPI number
- 1699173757
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Erik Petersen, Chief Medical Officer(816) 875-4325
- License
- FL001411027 (MO)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Registry dates
- Enumerated
- 2014-12-05
- Last updated
- 2014-12-05
Frequently asked questions
- What is Icare Primary Care Clinic, LLC's NPI number?
- Icare Primary Care Clinic, LLC's National Provider Identifier (NPI) is 1699173757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Icare Primary Care Clinic, LLC?
- Icare Primary Care Clinic, LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Icare Primary Care Clinic, LLC located?
- Icare Primary Care Clinic, LLC's practice location on file with NPPES is 550 Rush Creek Pkwy, Liberty, MO 64068-9608.
- What is Icare Primary Care Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Icare Primary Care Clinic, LLC is (816) 875-4325.
- Who is the authorized official for Icare Primary Care Clinic, LLC?
- The authorized official listed on Icare Primary Care Clinic, LLC's NPPES record is Erik Petersen, Chief Medical Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Icare Primary Care Clinic, LLC's NPI active?
- Yes — Icare Primary Care Clinic, LLC's NPI (1699173757) is active in the NPPES registry as of the last update on 2014-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.