Healthcare Provider Details

I. General information

NPI: 1487422044
Provider Name (Legal Business Name): INTEGRITY HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2023
Last Update Date: 12/13/2023
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 CHIEF JUSTICE CUSHING HWY
COHASSET MA
02025-1224
US

IV. Provider business mailing address

1719 W MAIN ST # 525-B107
RAPID CITY SD
57702-2575
US

V. Phone/Fax

Practice location:
  • Phone: 605-415-1827
  • Fax:
Mailing address:
  • Phone: 605-415-1827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: LATWANYA M BLISSETT
Title or Position: PRESIDENT
Credential:
Phone: 605-415-1827