Provider Demographics
NPI:1912029943
Name:UNITED INTEGRITY HOME HEALTH, INC.
Entity Type:Organization
Organization Name:UNITED INTEGRITY HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPCS
Authorized Official - Prefix:
Authorized Official - First Name:MACY
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-539-5249
Mailing Address - Street 1:12900A GARDEN GROVE BLVD
Mailing Address - Street 2:SUITE 116
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-2023
Mailing Address - Country:US
Mailing Address - Phone:714-539-5249
Mailing Address - Fax:714-539-5236
Practice Address - Street 1:12900A GARDEN GROVE BLVD
Practice Address - Street 2:SUITE 116
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-2023
Practice Address - Country:US
Practice Address - Phone:714-539-5249
Practice Address - Fax:714-539-5236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000337251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health