Provider Demographics
NPI:1851398721
Name:INTEGRITY HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:INTEGRITY HOME HEALTH CARE, INC.
Other - Org Name:INTEGRITY HOME HEALTH CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRYCZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-307-1012
Mailing Address - Street 1:530 STEPHENSON HIGHWAY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1113
Mailing Address - Country:US
Mailing Address - Phone:248-307-1012
Mailing Address - Fax:248-307-1016
Practice Address - Street 1:530 STEPHENSON HIGHWAY
Practice Address - Street 2:SUITE 110
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1113
Practice Address - Country:US
Practice Address - Phone:248-307-1012
Practice Address - Fax:248-307-1016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI237460251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI15-485269Medicaid
MI15-485269Medicaid