Provider Demographics
NPI:1487110227
Name:INTEGRITY HOME HEALTH LLC
Entity type:Organization
Organization Name:INTEGRITY HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JEANEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:430-625-7244
Mailing Address - Street 1:2005 LEE ST
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604-1918
Mailing Address - Country:US
Mailing Address - Phone:903-746-1311
Mailing Address - Fax:
Practice Address - Street 1:411 N FREDONIA ST STE 109
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-6467
Practice Address - Country:US
Practice Address - Phone:903-746-1311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-18
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX019410OtherTEXAS HEALTH & HUMAN SERVICES COMMISSION