MEDICARE: INTEGRITY PLUS IN-HOME CARE 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

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	:	1487173423
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY PLUS IN-HOME CARE LLC

Provider Business Mailing Address
First Line	:	2345 N WATERFORD DR
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63033-2308
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 CHURCH ST STE 117
Second Line	:
City	:	FERGUSON
State	:	MO
Zip	:	63135-2457
Country	:	US
Telephone Number	:	314-755-1331
Fax Number	:	314-755-1463

Authorized Official
Title or Position	:	OWNER
Name	:	GLENDA ANN RICE
Credential	:
Telephone Number	:	314-755-1331

Provider Enumeration Date	:	09/11/2017
Last Update Date	:	10/08/2019

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