Individualized Services, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

251B00000X Issued in IL

Legal business name

INDIVIDUALIZED SERVICES, INC.

Practice address

1322 N Linden St
Bloomington, IL 61701-1939

Phone

(309) 262-8006

Fax

(309) 807-2768

NPI assigned

Dec 14, 2008

Last updated

Dec 14, 2008By 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

Mrs. Kimmarie Ann Brown, M.A., QMRP

Title

President

Phone

(309) 262-8006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1229212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229212800000",
    "number": "1538304936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617020064",
            "telephone_number": "309-262-8006",
            "fax_number": "309-807-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 N LINDEN ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617011939",
            "telephone_number": "309-262-8006",
            "fax_number": "309-807-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUALIZED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-14",
        "last_updated": "2008-12-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KIMMARIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-262-8006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., QMRP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": "251B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Bloomington, IL
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• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2008; 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.