NPIMap

Organization Active NPI

Integrated Life Choices, Inc.

  • Nursing Care Agency
  • Conroe, TX
National Provider Identifier
1033642137
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
59388 Issued in NE
Legal business name
INTEGRATED LIFE CHOICES, INC.
Practice address
13627 Poplar Cir Ste 104
Conroe, TX 77304-2219
Phone
(402) 742-0311
NPI assigned
Apr 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joshua L Midgett
Title
Ceo
Phone
(402) 742-0311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 59388 NE Primary

Addresses

Primary practice location

13627 Poplar Cir Ste 104
Conroe, TX 77304-2219

Mailing address

13627 Poplar Cir Ste 104
Conroe, TX 77304-2219
Phone (402) 742-0311

Other identifiers 5

IdentifierTypeStateIssuer
95891857MedicaidNE
20792877MedicaidNE
93038983MedicaidNE
41596728MedicaidNE
51835644MedicaidNE

National Provider Directory

National Provider Directory
Tax ID family
Integrated Life Choices15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

13627 Poplar Cir
Ste 104
Conroe, TX 77304

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1033642137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13627 POPLAR CIR STE 104",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042219",
            "telephone_number": "402-742-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13627 POPLAR CIR STE 104",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042219",
            "telephone_number": "402-742-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED LIFE CHOICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "MIDGETT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-742-0311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NE",
            "license": "59388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95891857",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20792877",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93038983",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41596728",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51835644",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.