Organization Active NPI

Integrity Home Care Plus, LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1790059566
Registry record updated Feb 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
10-011901-1 Issued in IN
Legal business name
INTEGRITY HOME CARE PLUS, LLC
Practice address
5508 E 16TH St
Suite C13
Indianapolis, IN 46218-4936
Phone
(317) 602-3690
Fax
(317) 802-7610
NPI assigned
Feb 26, 2012
Last updated
Feb 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2012

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

Authorized official

Name
Gladys King, REGISTERED NURSE
Title
Administrator
Phone
(317) 602-3690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 10-011901-1 IN Primary

Addresses

Primary practice location

5508 E 16TH St
Suite C13
Indianapolis, IN 46218-4936

Mailing address

5508 E 16TH St
Suite C13
Indianapolis, IN 46218-4936
Phone (317) 602-3690

Other identifiers 1

IdentifierTypeStateIssuer
200914670AOtherINMEDICAID WAIVER

National Provider Directory

National Provider Directory

Locations

5508 E 16th St
Ste C13
Indianapolis, IN 46218
Phone (317) 602-3690

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330214400000",
    "number": "1790059566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 E 16TH ST",
            "address_2": "SUITE C13",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462184936",
            "telephone_number": "317-602-3690",
            "fax_number": "317-802-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 E 16TH ST",
            "address_2": "SUITE C13",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462184936",
            "telephone_number": "317-602-3690",
            "fax_number": "317-802-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY HOME CARE PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-26",
        "last_updated": "2012-02-26",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-602-3690",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "10-011901-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "200914670A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2012; 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.