Provider Demographics
NPI:1982927943
Name:INTEGRITY HOMECARE SERVICES, INC
Entity Type:Organization
Organization Name:INTEGRITY HOMECARE SERVICES, INC
Other - Org Name:INTEGRITY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:OGHENEKARO
Authorized Official - Last Name:AKOH-ONOJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-278-5633
Mailing Address - Street 1:9633 HALE AVE S
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-3894
Mailing Address - Country:US
Mailing Address - Phone:651-769-0114
Mailing Address - Fax:651-459-3897
Practice Address - Street 1:9633 HALE AVE S
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-3894
Practice Address - Country:US
Practice Address - Phone:651-769-0114
Practice Address - Fax:651-459-3897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN346647251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA667915000Medicaid