Provider Demographics
NPI:1861764508
Name:INTEGRITY HEALTH HOMECARE AGENCY
Entity type:Organization
Organization Name:INTEGRITY HEALTH HOMECARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MS
Authorized Official - First Name:TOMISHA
Authorized Official - Middle Name:YVON
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-374-8672
Mailing Address - Street 1:1982 STAUNTON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2253
Mailing Address - Country:US
Mailing Address - Phone:216-374-8672
Mailing Address - Fax:
Practice Address - Street 1:1982 STAUNTON RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44118-2253
Practice Address - Country:US
Practice Address - Phone:216-374-8672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health