MEDICARE: INTEGRITY HOME CARE

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1912575259
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY HOME CARE

Provider Business Mailing Address
First Line	:	300 LONG POINTE LN STE 220-S
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29229-7543
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 LONG POINTE LN STE 220-S
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29229-7543
Country	:	US
Telephone Number	:	803-395-0151
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TRAVIS WOODARD
Credential	:
Telephone Number	:	803-586-0005

Provider Enumeration Date	:	06/14/2021
Last Update Date	:	06/14/2021

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Directions to “INTEGRITY HOME CARE ” Practice Location

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