Healthcare Provider Details

I. General information

NPI: 1033833215
Provider Name (Legal Business Name): INTEGRITY HEALTHCARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2022
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5825 GLENRIDGE DR BUILDING 3, SUITE 114
SANDY SPRINGS GA
30328-5387
US

IV. Provider business mailing address

5825 GLENRIDGE DR BUILDING 3, SUITE 114
SANDY SPRINGS GA
30328-5387
US

V. Phone/Fax

Practice location:
  • Phone: 470-717-2952
  • Fax: 470-706-0209
Mailing address:
  • Phone: 470-717-2952
  • Fax: 470-706-0209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JANE NJONGE
Title or Position: ADMIN
Credential:
Phone: 470-717-2952