Organization Active NPI

Developmental Rehabilitative Services

Doing business as Intergrity Supports & Services

  • In Home Supportive Care Agency
  • Perry, FL
National Provider Identifier
1669819256
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
L07000057652 Issued in FL
Legal business name
DEVELOPMENTAL REHABILITATIVE SERVICES
Doing business as
Intergrity Supports & Services
Practice address
102 El Rancho Dr
Perry, FL 32347-1716
Phone
(850) 838-5792
NPI assigned
May 23, 2013
Last updated
May 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Ms. Shirley Abercrumbie
Title
Owner
Phone
(850) 838-5792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X L07000057652 FL Primary

Addresses

Primary practice location

102 El Rancho Dr
Perry, FL 32347-1716

Mailing address

102 El Rancho Dr
Perry, FL 32347-1716
Phone (850) 838-5792

Other identifiers 1

IdentifierTypeStateIssuer
677703196MedicaidFL

Other names 1

  • INTERGRITY SUPPORTS & SERVICES 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": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1669819256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 EL RANCHO DR",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323471716",
            "telephone_number": "850-838-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 EL RANCHO DR",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323471716",
            "telephone_number": "850-838-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL REHABILITATIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "ABERCRUMBIE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-838-5792",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "L07000057652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677703196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERGRITY SUPPORTS & SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.