NPIMap

Organization Active NPI

Integrated Life Choices of Colorado

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Littleton, CO
National Provider Identifier
1962909085
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
36358851 Issued in CO
Legal business name
INTEGRATED LIFE CHOICES OF COLORADO
Practice address
7095 W Fremont PL
Littleton, CO 80128-4708
Phone
(303) 484-8990
Fax
(303) 484-8676
NPI assigned
Apr 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Authorized official

Name
Justin SolomonNPI 1275071268
Title
Director of Finance
Phone
(402) 742-0311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 36358851 CO Primary
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 373H00000X 36358851 CO
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X 36358851 CO

Addresses

Primary practice location

7095 W Fremont PL
Littleton, CO 80128-4708

Mailing address

PO Box 80728
Lincoln, NE 68501-0728
Phone (402) 742-0311

National Provider Directory

National Provider Directory
Tax ID family
Integrated Life Choices of Colorado5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

  • Justin Solomon
    • Developmentally Disabled Services Day Training Agency
    • Littleton, CO
    • NPI 1275071268

    Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

    NPD (past) Authorized official

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1962909085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80728",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685010728",
            "telephone_number": "402-742-0311",
            "fax_number": "402-742-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 W FREMONT PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284708",
            "telephone_number": "303-484-8990",
            "fax_number": "303-484-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED LIFE CHOICES OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "402-742-0311"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CO",
            "license": "36358851",
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CO",
            "license": "36358851",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "CO",
            "license": "36358851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.