NPIMap

Organization Active NPI

Integrated Life Choices (Ilc)

  • Nursing Care Agency
  • Lincoln, NE
National Provider Identifier
1295268308
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
73451 Issued in NE
Legal business name
INTEGRATED LIFE CHOICES (ILC)
Practice address
6800 Normal Blvd
Lincoln, NE 68506-6828
Phone
(402) 742-0311
NPI assigned
Apr 5, 2017
Last updated
Jan 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Christina M HartzellNPI 1184570798
Title
Quality Improvement Coordinator
Phone
(402) 742-0311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 73451 NE Primary

Addresses

Primary practice location

6800 Normal Blvd
Lincoln, NE 68506-6828

Mailing address

6800 Normal Blvd
Lincoln, NE 68506-6828
Phone (402) 742-0311

Other identifiers 5

IdentifierTypeStateIssuer
51835644MedicaidNE
93038983MedicaidNE
95891857MedicaidNE
20792877MedicaidNE
41596728MedicaidNE

National Provider Directory

National Provider Directory
Tax ID family
Integrated Life Choices15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1295268308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066828",
            "telephone_number": "402-742-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066828",
            "telephone_number": "402-742-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED LIFE CHOICES (ILC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "HARTZELL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "QUALITY IMPROVEMENT COORDINATOR",
        "authorized_official_telephone_number": "402-742-0311"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NE",
            "license": "73451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51835644",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93038983",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95891857",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20792877",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41596728",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.