Provider Demographics
NPI:1275137986
Name:INTEGRITY HOUSE
Entity Type:Organization
Organization Name:INTEGRITY HOUSE
Other - Org Name:INTEGRITY HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER-ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:MESGANA
Authorized Official - Middle Name:IZEEM
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-731-8518
Mailing Address - Street 1:4640 CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64130-1944
Mailing Address - Country:US
Mailing Address - Phone:816-731-8518
Mailing Address - Fax:
Practice Address - Street 1:4640 CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64130-1944
Practice Address - Country:US
Practice Address - Phone:816-731-8518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health