MEDICARE: INTEGRITY HOME HEALTH SERVICES

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
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1578194221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	7555 WINTERWOOD DR
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73025-1861
Country	:	US
Telephone Number	:	405-990-5967
Fax Number	:

Provider Business Practice Location Address
First Line	:	7555 WINTERWOOD DR
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73025-1861
Country	:	US
Telephone Number	:	405-990-5967
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. JAMIE S MASSENGILL
Credential	:	MS, MHS, PA-C
Telephone Number	:	405-990-5967

Provider Enumeration Date	:	01/31/2020
Last Update Date	:	11/22/2020

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Directions to “INTEGRITY HOME HEALTH SERVICES ” Practice Location

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