Provider Demographics
NPI:1356615777
Name:INTEGRITY HOME HEALTH CARE SERVICES, INC
Entity type:Organization
Organization Name:INTEGRITY HOME HEALTH CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAPHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OGOM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:708-323-8600
Mailing Address - Street 1:80 RIVER OAKS OFFICE BUILDING
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CALUMET CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60409
Mailing Address - Country:US
Mailing Address - Phone:708-323-8600
Mailing Address - Fax:708-862-5562
Practice Address - Street 1:80 RIVER OAKS OFFICE BUILDING
Practice Address - Street 2:SUITE 301
Practice Address - City:CALUMET CITY
Practice Address - State:IL
Practice Address - Zip Code:60409-0000
Practice Address - Country:US
Practice Address - Phone:708-323-8600
Practice Address - Fax:708-862-5562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-02
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011460251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health