Provider Demographics
NPI:1831878081
Name:INTEGRITY MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:INTEGRITY MEDICAL SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/RN/ FINANCIAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEISHARA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-355-0301
Mailing Address - Street 1:223 E CITY HALL AVE STE 409
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1736
Mailing Address - Country:US
Mailing Address - Phone:757-355-0301
Mailing Address - Fax:
Practice Address - Street 1:223 E CITY HALL AVE STE 409
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1736
Practice Address - Country:US
Practice Address - Phone:757-355-0301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty