Integrated Community Services, Inc.

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

INTEGRATED COMMUNITY SERVICES, INC.

Practice address

6323 Georgia Ave NW
Suite 106
Washington, DC 20011-1101

Phone

(202) 506-1209

Fax

(202) 506-1396

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Rose Oma

Title

Ceo

Phone

(301) 434-3503

Specialties & licenses 3

Addresses

Tax ID family

Integrated Community Services Inc2 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.

• Integrated Community Services, Inc.

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1699319947
  NPD tax ID

Locations

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1861926214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 100",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031400",
            "telephone_number": "301-434-3503",
            "fax_number": "301-434-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 GEORGIA AVE NW",
            "address_2": "SUITE 106",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111101",
            "telephone_number": "202-506-1209",
            "fax_number": "202-506-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "OMA",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-434-3503",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "DC",
            "license": "HCA-0076",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integral Therapy & Coaching
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• Integrated Community Services, Inc.
• Integrated Community Services, Inc.
• Integrated Dermatology of 19TH Street LLC
• Integrated Dermatology of I Street, LLC
• Integrated Dermatology of K Street LLC
• Integrated Dermatology of Mass Ave, LLC
• Integrated Health Services D.C., LLC

• Respite Care in Washington, DC
• Providers in Washington, DC by specialty
• Respite Care in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.