Integrated Health, LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

INTEGRATED HEALTH, LLC

Practice address

3105 Limestone Rd Ste 300
Wilmington, DE 19808-2156

Phone

(844) 365-2202

Fax

(844) 558-1878

NPI assigned

Dec 18, 2024

Organization subpart

No

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

Authorized official

Name

Kelsey Roper

Title

Office Administrator

Phone

(844) 365-2202

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Integrated Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Integrated Health, LLC

  • Adult Medicine Physician
  • Middletown, DE
  • NPI 1629885082
  NPD tax ID
• Integrated Health, LLC

  • Adult Medicine Physician
  • Elkton, MD
  • NPI 1063182830
  NPD tax ID

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1063229425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 CARTER DR STE B",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095845",
            "telephone_number": "844-365-2202",
            "fax_number": "844-558-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 LIMESTONE RD STE 300",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082156",
            "telephone_number": "844-365-2202",
            "fax_number": "844-558-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "ROPER",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "844-365-2202"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250769939",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250789329",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Integrated Care Physicians PLLC (Harborwell Health)
• Integrated Health & Wellness Services, LLC
• Integrative & Family Healthcare LLC (David J Jezyk MD)
• Integrative Physical Health LLC
• Internal Medicine Associates, PA
• Samantha Nicole Introcaso, LPC, LPCMH
• Amanda Elisabeth Iovanisci, CF-SLP

• Adult Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Adult Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.