Active NPI
Integrated Habilitation Services
- Adult Care Home Facility
- Homestead, FL
National Provider Identifier
1154075588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- INTEGRATED HABILITATION SERVICES
- Practice address
- 305 S Flagler Ave
Homestead, FL 33030-7238 - Phone
- (305) 972-1026
- NPI assigned
- Feb 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcie Y Sanders
- Title
- Cfo
- Phone
- (305) 972-1026
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
305 S Flagler Ave
Homestead, FL 33030-7238
Mailing address
305 S Flagler Ave
Homestead, FL 33030-7238
Phone (305) 972-1026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000063300 | Medicaid | FL |
Other names 1
- Integrated Habilitation Services
National Provider Directory
National Provider DirectoryLocations
305 S Flagler Ave
Homestead, FL 33030
Phone (305) 972-1026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643932800000",
"number": "1154075588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 S FLAGLER AVE",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330307238",
"telephone_number": "305-972-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S FLAGLER AVE",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330307238",
"telephone_number": "305-972-1026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED HABILITATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-04",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "MARCIE",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "305-972-1026"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000063300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrated Habilitation Services",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Homestead, FL
- Infinite Complete Care, LLC
- Innovative Behavioral Health Services, LLC
- Inpatient Medical Management, LLC.
- Insight Healthcare & Wellness, LLC
- Integral Medical Group Inc
- Integrative Health and Nutrition
- Intentional Provisions Outreach Corporation
- Interamerican Medical Center Group LLC
- Interamerican Medical Center Group LLC
- International Medical Equipment Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.