Integrated Care Corp, Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

INTEGRATED CARE CORP, INC

Practice address

371 Bethel Church Rd
Ligonier, PA 15658-2074

Phone

(724) 593-7447

Fax

(724) 593-7448

NPI assigned

Dec 10, 2009

Last updated

Jul 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rick Panichelle

Title

Fiscal Operator

Phone

(724) 593-7447

Specialties & licenses 1

Addresses

Other names 1

• The Integrated Care Corporation Other name

Tax ID family

Integrated Care Corp Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Integrated Care Corp, Inc.

  • Contractor
  • Ligonier, PA
  • NPI 1437298833
  NPD tax ID

Locations

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1306175955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 BETHEL CHURCH RD",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156582074",
            "telephone_number": "724-593-7447",
            "fax_number": "724-593-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 BETHEL CHURCH RD",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156582074",
            "telephone_number": "724-593-7447",
            "fax_number": "724-593-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CARE CORP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "PANICHELLE",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "FISCAL OPERATOR",
        "authorized_official_telephone_number": "724-593-7447"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Integrated Care Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meredith Lynn Hindle-Holt, MPT
• Timothy E. Holloway, D.M.D.
• William Homer Jr.
• Jeffrey D Hunt, DC
• In-Sync Rehabilitation Services, Inc.
• Integrated Care Corp, Inc.
• Irmc - Premier LLC (Premier Express Care, LLC)
• Jon R Lundquist DDS
• Jones Solutions Group LLC
• Nikolas Scott Kaminski, NREMT

• Early Intervention Provider Agency in Ligonier, PA
• Providers in Ligonier, PA by specialty
• Early Intervention Provider Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.