Provider Demographics
NPI:1760862817
Name:INTEGRATED, INC.
Entity Type:Organization
Organization Name:INTEGRATED, INC.
Other - Org Name:INTEGRATED HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SUOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-251-4242
Mailing Address - Street 1:2060 KNOLL DR STE 101
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7393
Mailing Address - Country:US
Mailing Address - Phone:805-667-8344
Mailing Address - Fax:805-667-8355
Practice Address - Street 1:300 E ESPLANADE DR STE 1830
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-1238
Practice Address - Country:US
Practice Address - Phone:805-364-8950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health