Organization Active NPI

Integrated Life Services, LLC

  • Case Management Agency
  • Forestdale, MA
National Provider Identifier
1467312264
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
INTEGRATED LIFE SERVICES, LLC
Practice address
13 Emerald Way
Forestdale, MA 02644-1529
Phone
(774) 313-8445
Fax
(508) 388-6195
NPI assigned
Nov 13, 2025
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Taylor Daniel Cobb, MPA, LSW, CDP, CGCM
Title
Owner/Founder
Phone
(774) 313-8445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Supports Brokerage Agency 251X00000X NU

Addresses

Primary practice location

13 Emerald Way
Forestdale, MA 02644-1529

Mailing address

PO Box 283
Forestdale, MA 02644-0283
Phone (774) 313-8445

National Provider Directory

National Provider Directory
Tax ID family
Integrated Life Services LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1467312264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026440283",
            "telephone_number": "774-313-8445",
            "fax_number": "508-388-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 EMERALD WAY",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026441529",
            "telephone_number": "774-313-8445",
            "fax_number": "508-388-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED LIFE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "774-313-8445",
        "authorized_official_credential": "MPA, LSW, CDP, CGCM"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forestdale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.