Organization Active NPI

Ir Home Health

  • Home Health Agency
  • Killeen, TX
National Provider Identifier
1770537110
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009276 Issued in TX
Legal business name
IR HOME HEALTH
Practice address
1805 Florence Rd
Suite 14
Killeen, TX 76541-8523
Phone
(254) 628-7900
Fax
(254) 628-7905
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Mrs. Kidada Akilah Mitchell, OTR/LNPI 1972587632
Title
Cfo
Phone
(254) 628-7900

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 009276 TX Primary

Addresses

Primary practice location

1805 Florence Rd
Suite 14
Killeen, TX 76541-8523

Mailing address

PO Box 2910
Harker Heights, TX 76548-0910
Phone (254) 628-7900

Other identifiers 1

IdentifierTypeStateIssuer
009276OtherTXSTATE LICENSE

Other names 1

  • Integrity Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040901000799 TX Part A Provider - Home Health Agency 0547235590 Practice locations: Killeen, TX

Home health agency certification: CCN 457949

Legal name
IR HOME HEALTH
Doing business as
INTEGRITY HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 4, 2005
Last certification
Mar 11, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 28, 2004 in TX
Enrollment address
5302 Janelle Street
Killeen, TX 76549-4401

Care Compare: Home health agency

Medicare Care Compare
Listed as
Integrity Home HealthCCN 457949
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Nov 4, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1035283Integrity Home Health5302 Janelle Drive, Killeen, TX 76549Certificate of waiverDec 28, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Earline Miller Individual 5% Or Greater Direct Ownership Interest Jan 1, 2009 20%
General Partnership Interest Jan 1, 2009
Jeanice a Mitchell Individual Contracted Managing Employee Sep 1, 2004 80%
General Partnership Interest Sep 1, 2004 80%

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1770537110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2910",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765480910",
            "telephone_number": "254-628-7900",
            "fax_number": "254-628-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 FLORENCE RD",
            "address_2": "SUITE 14",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765418523",
            "telephone_number": "254-628-7900",
            "fax_number": "254-628-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IR HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KIDADA",
        "authorized_official_middle_name": "AKILAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "254-628-7900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "009276",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.