INTEGRATIVE LIFE SERVICES (NPI# 1699968677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699968677 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE LIFE SERVICES |
| Practice Address |
2010 W Chester Pike Suite 314 Havertown PA 19083-2700 |
| Practice Telephone | 6107896005 |
| Mailing Telephone | 6107896005 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |
| Authorized Official Name | MARK D BESDEN (DIRECTOR) |
| Authorized Official Telephone | 6107896005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101269497-0001 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | INTEGRATIVE LIFE SERVICES LLC | 501 South Cherry St., Suite 1100, Denver, CO 80246 |
| Street Address |
2010 W CHESTER PIKE SUITE 314 |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130741 | Paul Ezell | Ophthalmology | 2010 W Chester Pike, Havertown, PA 19083-2700 | 2005-08-09 |
| 1033762430 | Maria Anne Spano | Counselor | 2010 W Chester Pike, Havertown, PA 19083-2700 | 2019-07-24 |
| 1811363393 | Ashlee Eileen Geier | Physical Therapist | 2010 W Chester Pike, Suite 450, Havertown, PA 19083-2700 | 2015-08-19 |
| 1053715458 | Stephanie Bergey | Counselor | 2010 W Chester Pike, Ste 314, Havertown, PA 19083-2700 | 2014-10-14 |
| 1053734970 | Daniel Brown | Counselor | 2010 W Chester Pike, Havertown, PA 19083-2700 | 2014-01-28 |
| 1801143201 | Bai Dan | Mechanotherapist | 2010 W Chester Pike, #407, Havertown, PA 19083-2700 | 2012-08-06 |
| 1689949067 | Richard L Jahnle Md PC | Optometrist | 2010 W Chester Pike, Wellness Center; Suite 310, Havertown, PA 19083-2737 | 2012-03-19 |
| 1619253812 | Lorene Renee Peta | Counselor | 2010 W Chester Pike, Suite 314, Havertown, PA 19083-2700 | 2011-11-01 |
| 1457636037 | Lll-usa Integrated Health Care Association | Clinic/Center | 2010 W Chester Pike, Suite 407, Havertown, PA 19083-2700 | 2011-10-14 |
| 1770896839 | Yu Jiang | Dentist | 2010 W Chester Pike, Suite 420, Havertown, PA 19083-2700 | 2010-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
| 1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
| 1346762739 | Luke Francis Mattson | Pharmacist | 60 West Hillcrest Avenue, Havertown, PA 19083 | 2017-07-07 |
| 1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
| 1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
| 1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
| 1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
| 1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
| 1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
| Find all providers in zip 19083 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816204 | Source Behavioral Health Services, LLC | Clinic/Center | 301 Oxford Valley Rd Ste 1302, Yardley, PA 19067-7706 | 2020-06-22 |
| 1780218594 | Davis Archway Centers for Addiction Treatment, Inc. | Clinic/Center | 114 Courson Ln, Emlenton, PA 16373-2502 | 2020-03-02 |
| 1871125625 | New Hope Community Medical Care LLC | Clinic/Center | 2602 W 9th St Ste 101, Chester, PA 19013-2089 | 2020-02-10 |
| 1528699931 | Caron Outpatient Services, LLC | Clinic/Center | 401 Plymouth Rd Ste 325, Plymouth Meeting, PA 19462-1650 | 2020-02-04 |
| 1124658331 | White Oak Wellness | Clinic/Center | 1966 Lincoln Way Ste 100, White Oak, PA 15131-2416 | 2020-01-16 |
| 1518517283 | Peace Valley Recovery | Clinic/Center | 5230 York Rd, Doylestown, PA 18902-1736 | 2019-09-16 |
| 1841853256 | Trinity Recovery LLP | Clinic/Center | 1311 E State St, Sharon, PA 16146-3246 | 2019-04-22 |
| 1861950909 | Advanced Treatment Centers LLC | Clinic/Center | 60 Abele Rd Ste 1103, Bridgeville, PA 15017-3467 | 2019-03-07 |
| 1467918722 | Melissa Francomacaro | Clinic/Center | 1035 W Walnut St Apt 2, Allentown, PA 18102-4847 | 2019-02-12 |
| 1205390325 | Pyramid Health Care Inc. | Clinic/Center | 100 Upper Demunds Rd, Dallas, PA 18612-8811 | 2019-01-23 |
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| 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.