Organization Active NPI

Integrity Pca Services Inc.

  • Home Health Agency
  • Andover, MN
National Provider Identifier
1962675231
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTEGRITY PCA SERVICES INC.
Practice address
14259 Vintage St NW
Andover, MN 55304-3159
Phone
(612) 750-3387
Fax
(763) 592-7922
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Mr. David A Farnum
Title
Ceo
Phone
(612) 750-3387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14259 Vintage St NW
Andover, MN 55304-3159

Mailing address

14259 Vintage St NW
Andover, MN 55304-3159
Phone (612) 750-3387

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1962675231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14259 VINTAGE ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043159",
            "telephone_number": "612-750-3387",
            "fax_number": "763-592-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14259 VINTAGE ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043159",
            "telephone_number": "612-750-3387",
            "fax_number": "763-592-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY PCA SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "FARNUM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-750-3387",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.