Individualized Services, Inc.

Case Management Agency · Bloomington, IL

Organization Active NPI

NPI number 1538304936

Practice location

1322 N Linden St
Bloomington, IL 61701-1939
Phone
(309) 262-8006
Fax
(309) 807-2768

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NPI record

NPI
1538304936
Entity type
Organization (Type 2)
Enumeration date
December 14, 2008
Last updated
December 14, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Management Agency Primary 251B00000X 251B00000X IL

Mailing address

PO Box 64
Bloomington, IL 61702-0064
Phone
(309) 262-8006
Fax
(309) 807-2768

Authorized official

Name
Mrs. Kimmarie Ann Brown, M.A., QMRP
Title
President
Phone
(309) 262-8006

About Individualized Services, Inc.

Individualized Services, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Case Management Agency (code 251B00000X). The practice location is 1322 N Linden St, Bloomington, IL 61701-1939. The NPI number 1538304936 was assigned on December 14, 2008 and the record was last updated on December 14, 2008.

Individualized Services, Inc. lists a license in the registry: #251B00000X (IL) for Case Management Agency. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Kimmarie Ann Brown, M.A., QMRP, President.

Frequently asked questions

What is the NPI number of Individualized Services, Inc.?

The NPI number is 1538304936.

What is the phone number of Individualized Services, Inc.?

The phone number listed for the practice location is (309) 262-8006.

Where is Individualized Services, Inc. located?

1322 N Linden St, Bloomington, IL 61701-1939.

What is the taxonomy code for Individualized Services, Inc.?

The primary taxonomy code is 251B00000X – Case Management Agency.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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