Provider Demographics
NPI:1629070156
Name:INTEGRITY HOME CARE, LLC
Entity Type:Organization
Organization Name:INTEGRITY HOME CARE, LLC
Other - Org Name:INTEGRITY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OTTO
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:REINERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-889-9773
Mailing Address - Street 1:2960 N EASTGATE AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65803-5746
Mailing Address - Country:US
Mailing Address - Phone:417-889-9773
Mailing Address - Fax:417-890-6840
Practice Address - Street 1:1210 NE WINDSOR DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-5594
Practice Address - Country:US
Practice Address - Phone:816-254-3131
Practice Address - Fax:816-254-4440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-15
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO748-2251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO586098006Medicaid
MO267581Medicare Oscar/Certification