| Organization Name: | INTEGRAL CARE MANAGEMENT INC. |
| NPI Number: | 1013081728 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON MATEO (PRESIDENT CEO) |
| Mailing Address: | 6811 Shawnee Mission Pkwy Suite 115 Overland Park |
| State: | KS US |
| Postal Code: | 662024001 |
| Phone Number: | 9133842273 |
| Fax Number: | 9133840688 |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 07/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |