Intergrity Consumer Directed Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

LC001419047 Issued in MO

Legal business name

INTERGRITY CONSUMER DIRECTED SERVICES

Practice address

8604 Betty Lee Ave
Saint Louis, MO 63114-4515

Phone

(314) 488-0759

NPI assigned

Aug 13, 2015

Organization subpart

No

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

Authorized official

Name

Miss Ernestine Maria Smith

Title

Executive Director

Phone

(314) 488-0759

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1073989018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 BETTY LEE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631144515",
            "telephone_number": "314-488-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8604 BETTY LEE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631144515",
            "telephone_number": "314-488-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERGRITY CONSUMER DIRECTED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ERNESTINE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-488-0759",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "LC001419047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.