Organization Active NPI

Integrated Habilitation Services

  • Adult Care Home Facility
  • Homestead, FL
National Provider Identifier
1154075588
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
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

Updated by the provider on Feb 4, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000063300MedicaidFL

Other names 1

  • Integrated Habilitation Services Former legal business name

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.