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INTEGROUS SUPPORT GROUP NPI 1063877124


NPI Information

NPI: 1063877124
Provider Name: INTEGROUS SUPPORT GROUP
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1149 BILLY GOAT HILL RD
HOPKINSVILLE, KY
ZIP 42240
Phone: (615) 545-7055
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INTEGROUS SUPPORT GROUP is a residential treatment facility, intellectual and/or developmental disabilities in Hopkinsville, KY. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. INTEGROUS SUPPORT GROUP NPI is 1063877124. The provider is registered as an organization entity type.

The provider's business location address is:

1149 BILLY GOAT HILL RD
HOPKINSVILLE, KY
ZIP 42240-080
Phone: (615) 545-7055

The provider's authorized official is Frances Idoye .
The authorized official title is Owner and has the following contact phone number (615) 545-7055.

The enumeration date for this NPI number is 12/16/2015 and was last updated on 12/16/2015.


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
1251C00000XDay Training, Developmentally Disabled ServicesNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3385H00000XRespite CareNo
4320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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: 5/5/2024

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