Healthcare Provider Details

I. General information

NPI: 1689298556
Provider Name (Legal Business Name): INTEGRITY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2020
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 RIGSBY RD
DAYTON TN
37321-2239
US

IV. Provider business mailing address

PO BOX 1107
DAYTON TN
37321-1004
US

V. Phone/Fax

Practice location:
  • Phone: 423-428-9291
  • Fax: 423-428-9281
Mailing address:
  • Phone: 423-428-9291
  • Fax: 423-428-9281

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: ANGELA THOMPSON
Title or Position: EXECUTIVE DIRECTOR
Credential: LPN
Phone: 423-428-9291