Active NPI
Integricare Inc
- Community Based Hospice Care Agency
- Parkersburg, WV
National Provider Identifier
1417148263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
- Aug 7, 2007
- 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
- Ms. Sheryl Holdren
- Title
- Administrator
- Phone
- (304) 428-2554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
417 Grand Park Dr
Suite 101
Parkersburg, WV 26105-4049
Mailing address
417 Grand Park Dr
Suite 101
Parkersburg, WV 26105-4049
Phone (304) 428-2554
Other names 1
- ServCare
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189036800000",
"number": "1417148263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": "2007-08-07",
"last_updated": "2007-09-06",
"status": "A",
"authorized_official_last_name": "HOLDREN",
"authorized_official_first_name": "SHERYL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "304-428-2554",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ServCare",
"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 Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.