Integrated Health & Wellness Services, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

INTEGRATED HEALTH & WELLNESS SERVICES, LLC

Practice address

1508 Pennsylvania Ave
Wilmington, DE 19806-4338

Phone

(302) 310-7354

NPI assigned

Apr 21, 2020

Organization subpart

No

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

Authorized official

Name

Ngozi ChiekwuNPI 1427396373

Title

Owner/Provider

Phone

(302) 310-7354

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22998/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ngozi Theresa Chiekwu, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, DE
  • NPI 1427396373
  Medicare reassignment NPD Authorized official
• Michelle R Marcantuno, CRNP

  • Family Nurse Practitioner
  • New Castle, DE
  • NPI 1568726669
  Medicare reassignment NPD
• Adekunle J Gbadamosi, LPC

  • Mental Health Counselor
  • Coatesville, PA
  • NPI 1295343929
  NPD
• Andrew Nash, D.O.

  • Internal Medicine Physician
  • Harrington, DE
  • NPI 1326158791
  NPD (past)

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1689294589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 PENNSYLVANIA AVE STE 1C",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064347",
            "telephone_number": "302-427-8000",
            "fax_number": "833-989-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 PENNSYLVANIA AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064338",
            "telephone_number": "302-310-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH & WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "CHIEKWU",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "302-310-7354"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samantha Nicole Introcaso, LPC, LPCMH

• Substance Use Disorder Rehabilitation Clinic/Center in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.