Organization Active NPI

Integrity Healthcare Agency, LLC

  • In Home Supportive Care Agency
  • Brandon, MS
National Provider Identifier
1104568401
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INTEGRITY HEALTHCARE AGENCY, LLC
Practice address
1061 Lake Village Cir
Brandon, MS 39047-6723
Phone
(601) 697-5067
NPI assigned
Apr 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Lateshia Deering
Title
Owner
Phone
(601) 697-5067

Specialties & licenses 1

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

Addresses

Primary practice location

1061 Lake Village Cir
Brandon, MS 39047-6723

Mailing address

1061 Lake Village Cir
Brandon, MS 39047-6723

National Provider Directory

National Provider Directory

Locations

1061 Lake Village Cir
Brandon, MS 39047
Phone (601) 697-5067

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1104568401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 LAKE VILLAGE CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 LAKE VILLAGE CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476723",
            "telephone_number": "601-697-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY HEALTHCARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "DEERING",
        "authorized_official_first_name": "LATESHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-697-5067"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.