Healthcare Provider Details

I. General information

NPI: 1235929803
Provider Name (Legal Business Name): INTEGRITY HEALTH SERVICES ORLANDO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 05/08/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3972 W EAU GALLIE BLVD STE 104
MELBOURNE FL
32934-7006
US

IV. Provider business mailing address

2999 N 44TH ST STE 100
PHOENIX AZ
85018-7247
US

V. Phone/Fax

Practice location:
  • Phone: 407-956-1870
  • Fax: 407-641-8178
Mailing address:
  • Phone: 480-618-5760
  • Fax: 602-253-5656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SUSAN VALOCCHI
Title or Position: CHIEF COMPLIANCE OFFICER
Credential:
Phone: 480-618-5760