INTEGRATED SENIOR CARE PC NPI 1891689790

NPI Information

  • NPI: 1891689790
  • Provider Name: INTEGRATED SENIOR CARE PC
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 12395 OLIVE BLVD STE 200
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (636) 233-7249

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NPI Details

INTEGRATED SENIOR CARE PC is a geriatric medicine family medicine in Saint Louis, MO. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. INTEGRATED SENIOR CARE PC NPI is 1891689790. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12395 OLIVE BLVD STE 200
SAINT LOUIS, MO
ZIP 63141-465
Phone: (636) 233-7249

The provider's authorized official is Joseph Mitchell .
The authorized official title is Owner and has the following contact phone number (270) 993-4789.

The enumeration date for this NPI number is 6/5/2025 and was last updated on 6/5/2025.

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
11041C0700XSocial WorkerClinicalNo
2171M00000XCase Manager/Care CoordinatorNo
3207QG0300XFamily MedicineGeriatric MedicineYes

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: 11/21/2025

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