Organization Active NPI

Integra Home Health, Inc.

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1770100323
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTEGRA HOME HEALTH, INC.
Practice address
13257 Saticoy St Ste a
North Hollywood, CA 91605-3401
Phone
(818) 751-2020
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Boris Krutonog
Title
Ceo
Phone
(818) 751-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13257 Saticoy St Ste a
North Hollywood, CA 91605-3401

Mailing address

13257 Saticoy St Ste a
North Hollywood, CA 91605-3401
Phone (818) 751-2020

Care Compare: Home health agency

Medicare Care Compare
Listed as
Integra Home Health, Inc.CCN 559752
Ownership
-
Certified
Dec 15, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

13257 Saticoy St
Ste A
North Hollywood, CA 91605
Phone (818) 751-2020

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1770100323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13257 SATICOY ST STE A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053401",
            "telephone_number": "818-751-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13257 SATICOY ST STE A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053401",
            "telephone_number": "818-751-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "KRUTONOG",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-751-2020"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.