Integricare, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

NA

Legal business name

INTEGRICARE, INC.

Practice address

2070 S Silverstone Way
Meridian, ID 83642-8108

Phone

(208) 321-0866

Fax

(208) 321-0860

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Jon C Estes

Title

Vice President/Cfo

Phone

(203) 741-6565

Specialties & licenses 1

Addresses

Other names 1

• Four Rivers Home Health Doing business as

Locations

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104870575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 S SILVERSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428108",
            "telephone_number": "208-321-0866",
            "fax_number": "208-321-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 S SILVERSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428108",
            "telephone_number": "208-321-0866",
            "fax_number": "208-321-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRICARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "203-741-6565"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Rivers Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.