- Enrollment id
- O20181120000038
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1124400585
- Multiple npi flag
- N
- Ccn
- 559009
- Associate id
- 0648524108
- Organization name
- INTEGRITY HOME HEALTH CARE SERVICES INC
- Incorporation date
- 2014-03-27
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5530 CORBIN AVE
- Address line 2
- STE 107
- City
- TARZANA
- State
- CA
- Zip code
- 913566000