Integrated Community Care LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

INTEGRATED COMMUNITY CARE LLC

Practice address

8400 Normandale Lake Blvd Ste 920
Bloomington, MN 55437-3843

Phone

(612) 488-2272

Fax

(612) 488-2272

NPI assigned

Nov 22, 2025

Organization subpart

No

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

Authorized official

Name

Ahmed Mahmud

Title

Program Director

Phone

(612) 488-2272

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1763769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1437010089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 NORMANDALE LAKE BLVD STE 920",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 NORMANDALE LAKE BLVD STE 920",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373843",
            "telephone_number": "612-488-2272",
            "fax_number": "612-488-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-22",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "MAHMUD",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "612-488-2272"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.