Provider Demographics
NPI:1265274815
Name:INTEGRITY HOME CARE, LLC
Entity type:Organization
Organization Name:INTEGRITY HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:R
Authorized Official - Last Name:NICHOLES
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:985-474-5360
Mailing Address - Street 1:63023 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:ROSELAND
Mailing Address - State:LA
Mailing Address - Zip Code:70456-3616
Mailing Address - Country:US
Mailing Address - Phone:985-247-2060
Mailing Address - Fax:985-247-2254
Practice Address - Street 1:63023 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:ROSELAND
Practice Address - State:LA
Practice Address - Zip Code:70456-3616
Practice Address - Country:US
Practice Address - Phone:985-247-2060
Practice Address - Fax:954-474-2254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care