INTEGRATED LIFE CHOICES (ILC) NPI 1740864875

NPI Information

NPI: 1740864875
Provider Name: INTEGRATED LIFE CHOICES (ILC)
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
7222 COMMERCE CENTER DR STE 175
COLORADO SPRINGS, CO
ZIP 80919
Phone: (719) 465-1538
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INTEGRATED LIFE CHOICES (ILC) is a community based residential treatment facility, intellectual and/or developmental disabilities in Colorado Springs, CO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. INTEGRATED LIFE CHOICES (ILC) NPI is 1740864875. The provider is registered as an organization entity type.

The provider's business location address is:

7222 COMMERCE CENTER DR STE 175
COLORADO SPRINGS, CO
ZIP 80919-226
Phone: (719) 465-1538

The provider's authorized official is Russ Hernandez .
The authorized official title is Quality Improvement Coordinator and has the following contact phone number (303) 484-8990.

The enumeration date for this NPI number is 5/5/2021 and was last updated on 5/5/2021.

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	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		Yes
3	343900000X	Non-emergency Medical Transport (VAN)		No
4	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	36358851	MEDICAID	COLORADO

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: 4/28/2024

NPI Synchronization or Removal

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