=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902786247
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INTEGRITY COMMUNITY SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/05/2025
-----------------------------------------------------
Last Update Date | 09/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 616 ELKINS ST
-----------------------------------------------------
City | HARRINGTON
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19952-3282
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 810-423-8790
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 616 ELKINS ST
-----------------------------------------------------
City | HARRINGTON
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19952-3282
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 810-423-8790
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | TISHA ANN JEFFERSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 810-423-8790
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------