Healthcare Provider Details

I. General information

NPI: 1043279417
Provider Name (Legal Business Name): INTEGRACARE HOME HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E PARK BLVD STE 104
PLANO TX
75074-8842
US

IV. Provider business mailing address

PO BOX 1509
LOUISVILLE KY
40201-1509
US

V. Phone/Fax

Practice location:
  • Phone: 817-514-8284
  • Fax: 817-514-8505
Mailing address:
  • Phone: 913-814-2206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number011455
License Number StateTX

VIII. Authorized Official

Name: SEAN PATRICK TURNER
Title or Position: VP REVENUE CYCLE
Credential:
Phone: 810-360-3133