Integritas Homecare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

357763 Issued in MN

Legal business name

INTEGRITAS HOMECARE, LLC

Practice address

6000 Bass Lake Rd Ste 200
Crystal, MN 55429-2794

Phone

(612) 414-5055

Fax

(763) 746-9401

NPI assigned

Jun 19, 2012

Last updated

Jun 19, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

INTEGRITAS VITAE, INC.As reported in NPPES

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

Authorized official

Name

Mr. Dennis Sabourin Walsh

Title

President

Phone

(612) 414-5055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1336402031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BASS LAKE RD STE 200",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292794",
            "telephone_number": "612-414-5055",
            "fax_number": "763-746-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BASS LAKE RD STE 200",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292794",
            "telephone_number": "612-414-5055",
            "fax_number": "763-746-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITAS HOMECARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRITAS VITAE, INC.",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "SABOURIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-414-5055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "357763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Crystal, MN
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• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.