Organization Active NPI

Integrated Family Solutions, LLC

  • Case Management Agency
  • Durham, NC
National Provider Identifier
1700937687
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
INTEGRATED FAMILY SOLUTIONS, LLC
Practice address
3622 Lyckan Pkwy
Suite 4001
Durham, NC 27707-2564
Phone
(919) 430-5200
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tonja Austin
Title
Managing Partner
Phone
(919) 510-5110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3622 Lyckan Pkwy
Suite 4001
Durham, NC 27707-2564

Mailing address

3622 Lyckan Pkwy
Suite 4001
Durham, NC 27707-2564
Phone (919) 430-5200

Other identifiers 1

IdentifierTypeStateIssuer
8301250MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Integrated Family Solutions 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.

Locations

3622 Lyckan Pkwy
Ste 4001
Durham, NC 27707
Phone (919) 430-5200

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700937687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY",
            "address_2": "SUITE 4001",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072564",
            "telephone_number": "919-430-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY",
            "address_2": "SUITE 4001",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072564",
            "telephone_number": "919-430-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED FAMILY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "TONJA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "919-510-5110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301250",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.