INTEGRATION GROUP HOME LLC
NPI 1861236440
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mansfield, TX

Active since June 19, 2024
4800 SAN REMO DR, MANSFIELD, TX 76063(612) 227-5811 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integration Group Home Llc NPPES

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

INTEGRATION GROUP HOME LLC (NPI 1861236440) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Mansfield, Texas and active in the NPI registry since June 2024. The organization lists Stephanie Ndifor Fomekon, Ceo/manager, as its authorized official.

NPPES Registry Identity

NPI1861236440
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameINTEGRATION GROUP HOME LLC
Location Address4800 SAN REMO DRMansfield, TX 76063-8642
Mailing Address4800 San Remo DrMansfield, TX 76063-8642 · (612) 227-5811
Organization SubpartNo
Authorized OfficialStephanie Ndifor FomekonCeo/manager · (612) 227-5811
Enumeration DateJune 19, 2024
NPPES CertifiedJune 19, 2024
NPI 1861236440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
4800 SAN REMO DR, Mansfield, TX 76063

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Vocational Nurse
4800 SAN REMO DR
MANSFIELD, TX 76063
Licensed Vocational Nurse
4800 SAN REMO DR
MANSFIELD, TX 76063

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 Integration Group Home LLC's NPI number?

The NPI number for Integration Group Home LLC is 1861236440. It was assigned to this organization in the NPPES registry on June 19, 2024.

Where is Integration Group Home LLC located?

Integration Group Home LLC is located at 4800 San Remo Dr, Mansfield, TX 76063. The listed phone number is (612) 227-5811.

What is Integration Group Home 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 Integration Group Home LLC was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.