Organization Active NPI

Integrative Human Services, LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1750145140
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTEGRATIVE HUMAN SERVICES, LLC
Practice address
4643 Hazel Ave Apt 2
Philadelphia, PA 19143-2195
Phone
(267) 243-2531
NPI assigned
Feb 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Dr. Derrick Tettey Dicker, PHDNPI 1669737029
Title
Owner / Ceo
Phone
(267) 243-2531

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4643 Hazel Ave Apt 2
Philadelphia, PA 19143-2195

Mailing address

4643 Hazel Ave Apt 2
Philadelphia, PA 19143-2195
Phone (267) 243-2531

National Provider Directory

National Provider Directory

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": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1750145140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 HAZEL AVE APT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432195",
            "telephone_number": "267-243-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 HAZEL AVE APT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432195",
            "telephone_number": "267-243-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HUMAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "DICKER",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "TETTEY",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "267-243-2531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.