Provider Demographics
NPI:1851654453
Name:INTEGRITY HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:INTEGRITY HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:OMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-284-2621
Mailing Address - Street 1:1415 E. DUBLIN-GRANVILLE RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3311
Mailing Address - Country:US
Mailing Address - Phone:614-284-2621
Mailing Address - Fax:614-430-9076
Practice Address - Street 1:1415 E DUBLIN GRANVILLE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3356
Practice Address - Country:US
Practice Address - Phone:614-284-2621
Practice Address - Fax:614-430-9076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health