NPIMap

Organization Active NPI

Integrity Staffing

  • In Home Supportive Care Agency
  • Conyers, GA
National Provider Identifier
1114365046
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
RN51831 Issued in GA
Legal business name
INTEGRITY STAFFING
Doing business as
Integrity Staffing
Practice address
1711 Holmes Dr SW
Conyers, GA 30094-4725
Phone
(770) 828-9967
NPI assigned
Jun 13, 2013
Last updated
Jun 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Mrs. Carolyn Marion Kelly, R.N. BSN
Title
Owner/Administrator
Phone
(678) 235-4109

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X RN51831 GA
Nursing Care Agency 251J00000X RN51831
Community/Behavioral Health Agency 251S00000X RN51831 GA
In Home Supportive Care Agency 253Z00000X RN51831 GA Primary

Addresses

Primary practice location

1711 Holmes Dr SW
Conyers, GA 30094-4725

Mailing address

1711 Holmes Dr SW
Conyers, GA 30094-4725
Phone (770) 828-9967

Other names 1

  • Integrity Staffing Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1114365046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 HOLMES DR SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300944725",
            "telephone_number": "770-828-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 HOLMES DR SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300944725",
            "telephone_number": "770-828-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY STAFFING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "678-235-4109",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N. BSN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "RN51831",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": "RN51831",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "RN51831",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "RN51831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Staffing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.