Provider Demographics
NPI:1578866612
Name:INTEGRITY HOME HEALTH CARE AGENCY, LLC
Entity Type:Organization
Organization Name:INTEGRITY HOME HEALTH CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:H
Authorized Official - Last Name:ROTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-862-3021
Mailing Address - Street 1:19220 VAN AKEN BLVD
Mailing Address - Street 2:304
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-3513
Mailing Address - Country:US
Mailing Address - Phone:216-862-3021
Mailing Address - Fax:
Practice Address - Street 1:19220 VAN AKEN BLVD
Practice Address - Street 2:304
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-3513
Practice Address - Country:US
Practice Address - Phone:216-862-3021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health