Organization Active NPI

Parents and Friends of the Community Integration Services

  • Adult Care Home Facility
  • Belleville, IL
National Provider Identifier
1689844912
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
PARENTS AND FRIENDS OF THE COMMUNITY INTEGRATION SERVICES
Practice address
212 S. 32ND St
Belleville, IL 62226
Phone
(618) 310-1549
Fax
(618) 310-1551
NPI assigned
Mar 3, 2008
Last updated
Dec 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Ms. Krista Missey
Title
Executive Director
Phone
(618) 310-1549

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU
Adult Care Home Facility 311ZA0620X IL Primary

Addresses

Primary practice location

212 S. 32ND St
Belleville, IL 62226

Mailing address

212 S. 32ND St
Belleville, IL 62226
Phone (618) 310-1549

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1689844912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S. 32ND ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "62226",
            "telephone_number": "618-310-1549",
            "fax_number": "618-310-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S. 32ND ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "62226",
            "telephone_number": "618-310-1549",
            "fax_number": "618-310-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENTS AND FRIENDS OF THE COMMUNITY INTEGRATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "MISSEY",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-310-1549",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.