Organization Active NPI

Integrity Living Options, Inc.

  • Behavior Analyst
  • Minneapolis, MN
National Provider Identifier
1225646177
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INTEGRITY LIVING OPTIONS, INC.
Practice address
1121 Jackson St NE Ste 113
Minneapolis, MN 55413-1637
Phone
(612) 236-1727
NPI assigned
Jul 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Caryn Conway
Title
Dir Financial Operations
Phone
(612) 236-1727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1121 Jackson St NE Ste 113
Minneapolis, MN 55413-1637

Mailing address

1121 Jackson St NE Ste 113
Minneapolis, MN 55413-1637
Phone (612) 236-1727

National Provider Directory

National Provider Directory

Locations

1121 Jackson St NE
Ste 113
Minneapolis, MN 55413
Phone (612) 236-1727

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1225646177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 JACKSON ST NE STE 113",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131637",
            "telephone_number": "612-236-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 JACKSON ST NE STE 113",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131637",
            "telephone_number": "612-236-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY LIVING OPTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "CARYN",
        "authorized_official_title_or_position": "DIR FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "612-236-1727"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.