Organization Active NPI

Integrity Care Services Inc

  • In Home Supportive Care Agency
  • Moorhead, MN
National Provider Identifier
1033341805
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INTEGRITY CARE SERVICES INC
Practice address
1202 34TH Ave S
Apartment 304
Moorhead, MN 56560-5101
Phone
(701) 200-3648
NPI assigned
Aug 12, 2009
Last updated
Aug 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nizar Kamel Ahmed
Title
Executive Officer
Phone
(701) 200-3648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1202 34TH Ave S
Apartment 304
Moorhead, MN 56560-5101

Mailing address

1202 34TH Ave S
Apartment 304
Moorhead, MN 56560-5101
Phone (701) 200-3648

Other identifiers 1

IdentifierTypeStateIssuer
A559178000MedicaidMN

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1033341805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 34TH AVE S",
            "address_2": "APARTMENT 304",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605101",
            "telephone_number": "701-200-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 34TH AVE S",
            "address_2": "APARTMENT 304",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605101",
            "telephone_number": "701-200-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "NIZAR",
        "authorized_official_middle_name": "KAMEL",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "701-200-3648"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A559178000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.