NPIMap

Organization Active NPI

Integrity Home Health Care Services, LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1336246990
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTEGRITY HOME HEALTH CARE SERVICES, LLC
Practice address
4150 W Peoria Ave
Suite 112
Phoenix, AZ 85029-3900
Phone
(602) 997-0500
Fax
(602) 997-4934
NPI assigned
Sep 17, 2006
Last updated
Mar 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Mr. Chris J Facto, RN
Title
Administrator
Phone
(602) 997-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AZ Primary

Addresses

Primary practice location

4150 W Peoria Ave
Suite 112
Phoenix, AZ 85029-3900

Mailing address

4150 W Peoria Ave
Suite 112
Phoenix, AZ 85029-3900
Phone (602) 997-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061025000808 AZ Part A Provider - Home Health Agency 7012914534 Practice locations: Phoenix, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336246990. Details of each certification follow.

Home health agency certification: CCN 037246

Legal name
INTEGRITY HOME HEALTH CARE SERVICES, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 12, 2007
Last certification
Apr 8, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 9, 2005 in AZ
Enrollment address
4150 W Peoria Ave
Ste 112
Phoenix, AZ 85029-3948
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Integrity Home Health Care Services, LLCCCN 037246 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Apr 12, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Home health agency

Medicare Care Compare
Listed as
Synergy Health Services IncCCN 037826
Overall star rating
2 of 5
Ownership
-
Certified
May 28, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1105965Integrity Home Health Care Services, LLC4150 W Peoria Ave Ste 112, Phoenix, AZ 85029Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory

Locations

11029 N 24th Ave
Ste 805
Phoenix, AZ 85029
Phone (602) 997-0500

2432 W Peoria Ave
Ste 1243
Phoenix, AZ 85029
Phone (602) 997-0500

4150 W Peoria Ave
Ste 112
Phoenix, AZ 85029
Phone (602) 997-0500

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mehlanie P Chaimungkla Individual 5% Or Greater Direct Ownership InterestOwner Jul 20, 2009 50%
W-2 Managing EmployeeAssistant Administrator Aug 27, 2013 50%
Christopher J Facto Individual 5% Or Greater Direct Ownership InterestOwner Jul 20, 2009 50%
W-2 Managing EmployeeAdministrator Jul 20, 2009 50%

Practitioners & affiliated clinicians

Affiliated clinicians 22

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1336246990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 W PEORIA AVE",
            "address_2": "SUITE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293900",
            "telephone_number": "602-997-0500",
            "fax_number": "602-997-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 W PEORIA AVE",
            "address_2": "SUITE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293900",
            "telephone_number": "602-997-0500",
            "fax_number": "602-997-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY HOME HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "FACTO",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-997-0500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.