Provider Demographics
NPI:1316323058
Name:INTEGRITY HOME HEALTH CARE
Entity type:Organization
Organization Name:INTEGRITY HOME HEALTH CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PASTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-320-6008
Mailing Address - Street 1:3501 HOLIDAY DR STE 408
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-8282
Mailing Address - Country:US
Mailing Address - Phone:504-320-6008
Mailing Address - Fax:
Practice Address - Street 1:3501 HOLIDAY DR STE 408
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-8282
Practice Address - Country:US
Practice Address - Phone:504-320-6008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE STORE HOUSE CHURCH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA105002163302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization