Provider Demographics
NPI:1750630489
Name:INTEGRITY HOME CARE, INC
Entity Type:Organization
Organization Name:INTEGRITY HOME CARE, INC
Other - Org Name:INTEGRITY OUTPATIENT THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HORTON
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:267-590-0267
Practice Address - Street 1:2960 N EASTGATE AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65803-5746
Practice Address - Country:US
Practice Address - Phone:417-889-9773
Practice Address - Fax:267-590-0267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-10
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1821096611Medicaid
MO1821096611Medicaid