Provider Demographics
NPI:1578987640
Name:INTEGRITY HOME CARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:INTEGRITY HOME CARE SOLUTIONS, LLC
Other - Org Name:INTEGRITY HOME CARE SOLUTIONS, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:NWANNE
Authorized Official - Middle Name:MONICA
Authorized Official - Last Name:ONYEABOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:978-866-7260
Mailing Address - Street 1:1565 MAIN ST BLDG. 2 SUITE # 311
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-4735
Mailing Address - Country:US
Mailing Address - Phone:978-455-2555
Mailing Address - Fax:978-455-0305
Practice Address - Street 1:1565 MAIN ST BLDG. 2 SUITE # 311
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-4735
Practice Address - Country:US
Practice Address - Phone:978-455-2555
Practice Address - Fax:978-455-0305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA001126514251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA227608OtherMEDICARE CCN