Organization Active NPI

Integricare, Inc

  • Home Health Agency
  • Parkersburg, WV
National Provider Identifier
1295700649
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
CON Issued in WV
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2340701MedicaidOH
0170105001MedicaidWV

Other names 1

  • ServCare Home Health 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": "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.

Verify at the official NPI Registry.