MEDICARE: INTEGRITY HOME HEALTH CARE SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336246990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY HOME HEALTH CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	4150 W PEORIA AVE
Second Line	:	SUITE 112
City	:	PHOENIX
State	:	AZ
Zip	:	85029-3900
Country	:	US
Telephone Number	:	602-997-0500
Fax Number	:	602-997-4934

Provider Business Practice Location Address
First Line	:	4150 W PEORIA AVE
Second Line	:	SUITE 112
City	:	PHOENIX
State	:	AZ
Zip	:	85029-3900
Country	:	US
Telephone Number	:	602-997-0500
Fax Number	:	602-997-4934

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. CHRIS J FACTO
Credential	:	RN
Telephone Number	:	602-997-0500

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	03/14/2017

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