Organization Active NPI

Integra Home Care Solutions, LLC

  • Home Health Agency
  • Riverview, FL
National Provider Identifier
1699538736
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTEGRA HOME CARE SOLUTIONS, LLC
Practice address
6520 US Highway 301 S Ste 104
Riverview, FL 33578-4324
Phone
(813) 776-1671
Fax
(813) 400-1084
NPI assigned
Feb 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Jacqueline Delisme, RNNPI 1447801410
Title
Administrator
Phone
(813) 363-2114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

6520 US Highway 301 S Ste 104
Riverview, FL 33578-4324

Mailing address

6520 US Highway 301 S Ste 104
Riverview, FL 33578-4324
Phone (813) 776-1671

National Provider Directory

National Provider Directory

Locations

6520 US Highway 301 S
Ste 104
Riverview, FL 33578
Phone (813) 776-1671

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1699538736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 US HIGHWAY 301 S STE 104",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784324",
            "telephone_number": "813-776-1671",
            "fax_number": "813-400-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 US HIGHWAY 301 S STE 104",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784324",
            "telephone_number": "813-776-1671",
            "fax_number": "813-400-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA HOME CARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "DELISME",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-363-2114",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.