Integrated Life Choices (Ilc)

LBN: Integrated Life Choices (Ilc)
Integrated Life Choices (Ilc) is an health care organization with primary practice located at 3015 S Academy Blvd , Colorado Springs CO 80916-3201. The organization recently has 4 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Transportation Services / Non-emergency Medical Transport (VAN), Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Integrated Life Choices (Ilc) can be contacted via phone (720) 830-8686, or through Hernandez, Russ via phone (303) 484-8990.

Contact Information

Primary practice address
3015 S Academy Blvd Colorado Springs CO 80916-3201
Phone: (720) 830-8686
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hernandez, Russ
Phone: (303) 484-8990

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1962086090
LBN Legal business name Integrated Life Choices (Ilc)
DBA Doing business as
Authorized official Hernandez, Russ
Entity Organization
Organization subpart 1 Yes
Enumeration date May 5th, 2021
Last updated May 5th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962086090 NPPES
Colorado MEDICAID 36358851

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