INTEGRATED LIFE CHOICES (NPI# 1265072342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265072342 |
| Entity Type | Organization |
| Organization Name | INTEGRATED LIFE CHOICES |
| Practice Address |
7777 W 38th Ave Unit A120 Wheat Ridge CO 80033-6170 |
| Mailing Address |
Po Box 80728 Lincoln NE 68501-0728 |
| Practice Telephone | 3039552591 |
| Practice Fax Number | 3033863689 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | JUSTIN SOLOMON (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 4027420311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 36358851 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284461 | Integrated Life Choices | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7800 S Elati St Ste 111, Littleton, CO 80120-4400 | 2020-01-07 |
| 1023658192 | Integrated Life Choices | Non-emergency Medical Transport (VAN) | 8170 S University Blvd Ste 230, Centennial, CO 80122-3163 | 2020-01-07 |
| 1558868653 | Integrated Life Choices | Non-emergency Medical Transport (VAN) | 240 Elizabeth St Ste H2, Elizabeth, CO 80107-7546 | 2018-04-06 |
| 1710379300 | Integrated Life Choices | Day Training, Developmentally Disabled Services | 6800 Normal Blvd, Lincoln, NE 68506-6828 | 2015-02-19 |
| 1225678923 | Integrated Life Choices | Non-emergency Medical Transport (VAN) | 240 Elizabeth St Ste H2, Elizabeth, CO 80107-7546 | 2020-01-10 |
| 1801436985 | Integrated Life Choices | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5630 N Academy Blvd, Colorado Springs, CO 80918-3659 | 2020-01-07 |
| 1376040303 | Integrated Life Choices | Clinic/Center | 7800 S Elati St, Littleton, CO 80120-4483 | 2018-04-06 |
| 1588197065 | Integrated Life Choices | Community/Behavioral Health | 6800 Normal Blvd, Lincoln, NE 68506-6828 | 2017-04-11 |
| 1043759848 | Integrated Life Choices | Homemaker | 240 Elizabeth St, Unit H-2, Elizabeth, CO 80107-7537 | 2017-02-14 |
| 1033658836 | Integrated Life Choices | Homemaker | 8170 S University Blvd, Centennial, CO 80122-3196 | 2017-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Integrated Life Choices, Inc. | 6800 Normal Boulevard, Lincoln, NE 68506 |
| Street Address |
7777 W 38TH AVE UNIT A120 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-6170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174631345 | Abigail Gonci | Physical Therapist | 7777 W 38th Ave Unit A120, Wheat Ridge, CO 80033-6170 | 2006-08-28 |
| 1265616387 | Dawn Kervin | Physical Therapist | 7777 W 38th Ave Unit A120, Wheat Ridge, CO 80033-6170 | 2007-12-26 |
| 1861571523 | Cathy Mcduff | Physical Therapy Assistant | 7777 W 38th Ave Unit A120, Wheat Ridge, CO 80033-6170 | 2006-11-03 |
| 1508943101 | Pamela Bohling | Physical Therapist | 7777 W 38th Ave Unit A120, Wheat Ridge, CO 80033-6170 | 2006-11-01 |
| 1952410516 | Patricia Marquardt | Physical Therapist | 7777 W 38th Ave Unit A120, Wheat Ridge, CO 80033-6170 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033242300 | Wheat Ridge Regional Center | Day Training, Developmentally Disabled Services | 10285 Ridge Rd, Wheat Ridge, CO 80033-2301 | 2007-03-14 |
| 1942333216 | Wheat Ridge Regional Center | Day Training, Developmentally Disabled Services | 10285 Ridge Rd, Wheat Ridge, CO 80033-2301 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818719 | Mike's Place LLC | Day Training, Developmentally Disabled Services | 325 Garfield Avenue, Carbondale, CO 81623 | 2020-10-14 |
| 1407453947 | Linda May Thomas-ware | Day Training, Developmentally Disabled Services | 8959 Colorado Blvd Apt 104, Thornton, CO 80229-4094 | 2020-10-07 |
| 1942814579 | Summit Supports LLC | Day Training, Developmentally Disabled Services | 735 Cristo Ln, Lafayette, CO 80026-1734 | 2020-09-01 |
| 1912519695 | Destiny Care | Day Training, Developmentally Disabled Services | 2172 S Trenton Way Apt 1-203, Denver, CO 80231-5380 | 2020-08-23 |
| 1083225726 | Asap- Alternative Solutions Assisting People LLC | Day Training, Developmentally Disabled Services | 21812 E Berry Ln, Centennial, CO 80015-6445 | 2020-08-16 |
| 1487264578 | Parker Personal Care Homes, Inc. | Day Training, Developmentally Disabled Services | 14001 E Iliff Ave Ste 204, Aurora, CO 80014-1425 | 2020-08-04 |
| 1013526656 | Kp Supports LLC | Day Training, Developmentally Disabled Services | 20477 Robins Dr, Denver, CO 80249-8587 | 2020-07-29 |
| 1356950679 | Bethel Agency | Day Training, Developmentally Disabled Services | 998 S Zeno Way, Aurora, CO 80017-3329 | 2020-07-23 |
| 1689292823 | Treeline Pass | Day Training, Developmentally Disabled Services | 1280 Vine St, Denver, CO 80206-2912 | 2020-07-13 |
| 1013534015 | Ithrive Support Services 'llc' | Day Training, Developmentally Disabled Services | 2800 W 103rd Ave Apt 1321, Federal Heights, CO 80260-8601 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
Please comment or provide details below to improve the information on INTEGRATED LIFE CHOICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.