J & P Integrity Support Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

J & P INTEGRITY SUPPORT SERVICES LLC

Practice address

1915 Highway 36 W Ste 11
Roseville, MN 55113-2709

Phone

(612) 460-0527

NPI assigned

Oct 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Pabalelo Gaolatlhe Tshane

Title

Manager

Phone

(612) 251-8228

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571443200000",
    "number": "1093358376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 HIGHWAY 36 W STE 11",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132709",
            "telephone_number": "612-460-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 HIGHWAY 36 W STE 11",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132709",
            "telephone_number": "612-460-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & P INTEGRITY SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-19",
        "last_updated": "2019-10-19",
        "status": "A",
        "authorized_official_last_name": "TSHANE",
        "authorized_official_first_name": "PABALELO",
        "authorized_official_middle_name": "GAOLATLHE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-251-8228",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adna Ismail
• Hibaq Issa
• Falis Ali Isse
• Trent H. Iverson, D.C.
• Veena R Iyer, MD
• Antoine Deshawn Jackson, MA, LPCC
• Michelle Leigh Jacobson, PHARM D, B.S.
• Matthew Dwaine Jadlowski, LICSW
• Angela Ann Jagg, RN
• Hafsa Liban Jama

• Developmentally Disabled Services Day Training Agency in Roseville, MN
• Providers in Roseville, MN by specialty
• Developmentally Disabled Services Day Training Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2019; 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.