Healthcare Provider Details

I. General information

NPI: 1750630489
Provider Name (Legal Business Name): INTEGRITY HOME CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2012
Last Update Date: 03/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2960 N EASTGATE AVE
SPRINGFIELD MO
65803-5746
US

IV. Provider business mailing address

2960 N EASTGATE AVE
SPRINGFIELD MO
65803-5746
US

V. Phone/Fax

Practice location:
  • Phone: 417-889-9773
  • Fax: 267-590-0267
Mailing address:
  • Phone: 417-889-9773
  • Fax: 267-590-0267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: GREGORY A. HORTON
Title or Position: CO-OWNER/CEO
Credential:
Phone: 417-889-9773