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INTEGRATED LIFESTYLES LLC
NPI 1801121397
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Columbia, MO

Active since October 16, 2009
820 BOURN AVE, COLUMBIA, MO 65203(573) 445-4409(573) 445-4409 Get Directions Write a Review

NPPES record last updated: October 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrated Lifestyles Llc NPPES

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

INTEGRATED LIFESTYLES LLC (NPI 1801121397) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Columbia, Missouri and active in the NPI registry since October 2009. The organization lists Jon Gilliom, Administrator, as its authorized official.

NPPES Registry Identity

NPI1801121397
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameINTEGRATED LIFESTYLES LLC
Location Address820 BOURN AVEColumbia, MO 65203-1459
Mailing Address820 Bourn AveColumbia, MO 65203-1459 · (573) 445-4409 · Fax (573) 445-4409
Phone(573) 445-4409
Fax(573) 445-4409
Organization SubpartNo
Authorized OfficialJon GilliomAdministrator · (573) 445-4409
Enumeration DateOctober 16, 2009
✔ NPI 1801121397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
820 BOURN AVE, Columbia, MO 65203
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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 Lifestyles LLC's NPI number?

The NPI number for Integrated Lifestyles LLC is 1801121397. It was assigned to this organization in the NPPES registry on October 16, 2009.

Where is Integrated Lifestyles LLC located?

Integrated Lifestyles LLC is located at 820 Bourn Ave, Columbia, MO 65203. The listed phone number is (573) 445-4409.

What is Integrated Lifestyles LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Integrated Lifestyles LLC was last updated on October 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.