OrganizationActive
Integrated Care Support Svcs Nc
NPI 1306781158 · Case Management Agency · Fernandina Beach, FL
Integrated Care Support Svcs Nc is a Case Management Agency organization in Fernandina Beach, FL (NPI 1306781158).
Provider details
- NPI number
- 1306781158
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kristy Pavelock, Qualified Professional/Case Manager(704) 929-8119
Specialties & taxonomies
Agencies
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
96031 Broadmoor Rd
Fernandina Beach, FL 32034
Phone: (704) 929-8119
Approximate (ZIP-level) locationGet directions
Mailing address
96031 Broadmoor Rd
Fernandina Beach, FL 32034
Registry dates
- Enumerated
- 2026-04-20
- Last updated
- 2026-04-20
- Certified
- 2026-04-15
Frequently asked questions
- What is Integrated Care Support Svcs Nc's NPI number?
- Integrated Care Support Svcs Nc's National Provider Identifier (NPI) is 1306781158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Care Support Svcs Nc?
- Integrated Care Support Svcs Nc is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Integrated Care Support Svcs Nc located?
- Integrated Care Support Svcs Nc's practice location on file with NPPES is 96031 Broadmoor Rd, Fernandina Beach, FL 32034.
- What is Integrated Care Support Svcs Nc's phone number?
- The practice phone number listed in the NPPES registry for Integrated Care Support Svcs Nc is (704) 929-8119.
- Who is the authorized official for Integrated Care Support Svcs Nc?
- The authorized official listed on Integrated Care Support Svcs Nc's NPPES record is Kristy Pavelock, Qualified Professional/Case Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Care Support Svcs Nc's NPI active?
- Yes — Integrated Care Support Svcs Nc's NPI (1306781158) is active in the NPPES registry as of the last update on 2026-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.