NPIMap

Organization Active NPI

Integrity Home Care Group, LLC

  • Nursing Care Agency
  • Vicksburg, MS
National Provider Identifier
1225501240
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
INTEGRITY HOME CARE GROUP, LLC
Practice address
1905B Mission 66 Ste 4
Vicksburg, MS 39180-3707
Phone
(601) 301-2172
Fax
(601) 510-9434
NPI assigned
Jan 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Maketta JenningsNPI 1720551740
Title
Owner
Phone
(601) 618-8632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X
Home Delivered Meals 332U00000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

1905B Mission 66 Ste 4
Vicksburg, MS 39180-3707

Mailing address

1905B Mission 66 Ste 4
Vicksburg, MS 39180-3707
Phone (601) 301-2172

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1225501240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905B MISSION 66 STE 4",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803707",
            "telephone_number": "601-301-2172",
            "fax_number": "601-510-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905B MISSION 66 STE 4",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803707",
            "telephone_number": "601-301-2172",
            "fax_number": "601-510-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY HOME CARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "MAKETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-618-8632"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.