Provider Demographics
NPI:1013680701
Name:INTEGRYS HOME CARE, LLC
Entity Type:Organization
Organization Name:INTEGRYS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-596-8804
Mailing Address - Street 1:378 S PINE ST APT 5
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-2653
Mailing Address - Country:US
Mailing Address - Phone:864-596-8804
Mailing Address - Fax:864-596-8849
Practice Address - Street 1:378 S PINE ST APT 5
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-2653
Practice Address - Country:US
Practice Address - Phone:864-596-8804
Practice Address - Fax:864-596-8849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty