Integral Home Health, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

INTEGRAL HOME HEALTH, LLC

Practice address

609 Sunrise Farm CT
Lexington, SC 29073-7029

Phone

(888) 688-5249

Fax

(803) 636-8996

NPI assigned

Dec 13, 2021

Organization subpart

No

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

Authorized official

Name

Chawanna Colleen Mazyck Stephens

Title

President

Phone

(855) 647-4400

Specialties & licenses 1

Addresses

Other names 1

• ViCare Doing business as

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1427717818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290739760",
            "telephone_number": "888-688-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 SUNRISE FARM CT",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290737029",
            "telephone_number": "888-688-5249",
            "fax_number": "803-636-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "MAZYCK STEPHENS",
        "authorized_official_first_name": "CHAWANNA",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-647-4400"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ViCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Lexington, SC
• Providers in Lexington, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.