Integricare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

NO NUMBER Issued in AK

Legal business name

INTEGRICARE, INC.

Practice address

3935 Reka Dr
Anchorage, AK 99508-3517

Phone

(907) 272-1275

Fax

(907) 272-1311

NPI assigned

Feb 14, 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 identifiers 1

Other names 1

• Denali Home Health & Hospice Doing business as

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215901665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 S CHERRY ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923537",
            "telephone_number": "203-741-6565",
            "fax_number": "203-269-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 REKA DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083517",
            "telephone_number": "907-272-1275",
            "fax_number": "907-272-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRICARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AK",
            "license": "NO NUMBER",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HH2722",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denali Home Health & Hospice",
            "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.