Integrated Home and Community Living Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

1051697-1-AFC Issued in MN

Legal business name

INTEGRATED HOME AND COMMUNITY LIVING SERVICES

Practice address

1534 Liberty Cir
Shakopee, MN 55379-4545

Phone

(612) 208-4436

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Esther Chuma

Title

Director

Phone

(612) 208-4436

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1942450119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 LIBERTY CIR",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 LIBERTY CIR",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794545",
            "telephone_number": "612-208-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HOME AND COMMUNITY LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "CHUMA",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-208-4436"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MN",
            "license": "1051697-1-AFC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ind School Dist 720
• Infinite Health Collaborative, PA
• Infinity Eye Care LLC
• Inner Knowing Therapy LLC
• Inspirewellnessservices LLC
• Irreplaceable Sober House
• Venkateshwaran K Iyer, MD
• Chantra-Lee Jackson
• Kaylen McNamara James Jackson, R.D., L.D., C.D.E.
• Dick Jacobson, RPH

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.