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INTEGRATED CARE SERVICES, INC.
NPI 1063757722
Community/Behavioral Health in Rock Hill, SC

Active since December 06, 2012
630 LIGE ST, ROCK HILL, SC 29730(910) 331-9578 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrated Care Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED CARE SERVICES, INC. (NPI 1063757722) is a healthcare organization registered as a community/behavioral health in Rock Hill, South Carolina and active in the NPI registry since December 2012. The organization lists Derrick Jerome Green, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1063757722
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameINTEGRATED CARE SERVICES, INC.
Location Address630 LIGE STRock Hill, SC 29730-5641
Mailing Address630 Lige StRock Hill, SC 29730-5641 · (910) 331-9578
Phone(910) 331-9578
Organization SubpartNo
Authorized OfficialDerrick Jerome GreenC.e.o. · (910) 331-9578
Enumeration DateDecember 6, 2012
Last NPPES UpdateMarch 19, 2015
✔ NPI 1063757722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
630 LIGE ST, Rock Hill, SC 29730
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Other Identifiers 1

Medicaid000000NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Care Services, Inc.'s NPI number?

The NPI number for Integrated Care Services, Inc. is 1063757722. It was assigned to this organization in the NPPES registry on December 6, 2012.

Where is Integrated Care Services, Inc. located?

Integrated Care Services, Inc. is located at 630 Lige St, Rock Hill, SC 29730. The listed phone number is (910) 331-9578.

What is Integrated Care Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Integrated Care Services, Inc. was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.