INTEGRATED ADULT FAMILY HOME, LLC
NPI 1366258154
Assisted Living Facility in Green Bay, WI

Q: What is Integrated Adult Family Home, LLC's NPI number?

The NPI number for Integrated Adult Family Home, LLC is 1366258154. It was assigned to this organization in the NPPES registry on December 5, 2024.

Q: What is Integrated Adult Family Home, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since December 05, 2024

1143 REBER ST, GREEN BAY, WI 54302(206) 822-3616 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Integrated Adult Family Home, Llc NPPES

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

INTEGRATED ADULT FAMILY HOME, LLC (NPI 1366258154) is a healthcare organization registered as an assisted living facility in Green Bay, Wisconsin and active in the NPI registry since December 2024. The organization lists Abdulkadir Jama, Owner, as its authorized official.

NPPES Registry Identity

NPI1366258154

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameINTEGRATED ADULT FAMILY HOME, LLC

Location Address1143 REBER STGreen Bay, WI 54302-1521

Mailing Address1143 Reber StGreen Bay, WI 54302-1521 · (206) 822-3616

Phone(206) 822-3616

Organization SubpartNo

Authorized OfficialAbdulkadir JamaOwner · (206) 822-3616

Enumeration DateDecember 5, 2024

NPPES CertifiedDecember 5, 2024

✔ NPI 1366258154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1143 REBER ST, Green Bay, WI 54302

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Other Names 1

Doing Business AsIntegrated Adult Family Home, Llc

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 Adult Family Home, LLC's NPI number?

The NPI number for Integrated Adult Family Home, LLC is 1366258154. It was assigned to this organization in the NPPES registry on December 5, 2024.

Where is Integrated Adult Family Home, LLC located?

Integrated Adult Family Home, LLC is located at 1143 Reber St, Green Bay, WI 54302. The listed phone number is (206) 822-3616.

What is Integrated Adult Family Home, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Integrated Adult Family Home, LLC was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.