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General NPI Number Information
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NPI Number | 1225501240
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Entity Type | Organization
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Legal Business Name | INTEGRITY HOME CARE GROUP, LLC
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 1905B MISSION 66 STE 4
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City | VICKSBURG
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State | MS
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Zip | 39180-3707
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Country | US
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Telephone | 601-301-2172
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Fax | 601-510-9434
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Provider Business Mailing Address
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Address Line | 1905B MISSION 66 STE 4
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City | VICKSBURG
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State | MS
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Zip | 39180-3707
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Country | US
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Telephone | 601-301-2172
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Fax | 601-510-9434
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Authorized Official
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Title or Position | OWNER
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Name | MAKETTA JENNINGS
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Credential |
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Telephone | 601-618-8632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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