Active NPI
Integricare, Inc
- Home Health Agency
- Parkersburg, WV
National Provider Identifier
1295700649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- CON
- Legal business name
- INTEGRICARE, INC
- Practice address
- 417 Grand Park Dr
Suite 101
Parkersburg, WV 26105-4049 - Phone
- (304) 428-2554
- Fax
- (304) 428-2518
- NPI assigned
- Feb 21, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | CON | WV | Primary |
Addresses
Primary practice location
417 Grand Park Dr
Suite 101
Parkersburg, WV 26105-4049
Mailing address
9 S Cherry St
Wallingford, CT 06492-3537
Phone (203) 741-6565
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2340701 | Medicaid | OH | |
| 0170105001 | Medicaid | WV |
Other names 1
- ServCare Home Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295700649",
"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": "417 GRAND PARK DR",
"address_2": "SUITE 101",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261054049",
"telephone_number": "304-428-2554",
"fax_number": "304-428-2518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRICARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-21",
"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": "WV",
"license": "CON",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2340701",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0170105001",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ServCare Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Parkersburg, WV
Sources for this page
- 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.