NPIMap

Organization Active NPI

Integrated Life Choices of Colorado

  • Developmentally Disabled Services Day Training Agency
  • Elizabeth, CO
National Provider Identifier
1467959403
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
36358851 Issued in CO
Legal business name
INTEGRATED LIFE CHOICES OF COLORADO
Practice address
240 Elizabeth St Ste H2
Elizabeth, CO 80107-7546
Phone
(303) 646-4402
Fax
(303) 646-4403
NPI assigned
Apr 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Authorized official

Name
Justin Solomon
Title
Director of Finance
Phone
(402) 742-0311

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 36358851 CO Primary
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 373H00000X 36358851 CO
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X 36358851 CO

Addresses

Primary practice location

240 Elizabeth St Ste H2
Elizabeth, CO 80107-7546

Mailing address

PO Box 80728
Lincoln, NE 68501-0728
Phone (402) 742-0311

Other names 1

  • Integrated Life Choices of Colorado Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Integrated Life Choices of Colorado5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1467959403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80728",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685010728",
            "telephone_number": "402-742-0311",
            "fax_number": "402-742-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ELIZABETH ST STE H2",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801077546",
            "telephone_number": "303-646-4402",
            "fax_number": "303-646-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED LIFE CHOICES OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "402-742-0311"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CO",
            "license": "36358851",
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CO",
            "license": "36358851",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "CO",
            "license": "36358851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Life Choices of Colorado",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Integrated Life Choices of Colorado",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Elizabeth, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.