03D1105965 CLIA NUMBER - INTEGRITY HOME HEALTH CARE SERVICES, LLC

Laboratory Demographics

CLIA Number: 03D1105965

Facility Name: INTEGRITY HOME HEALTH CARE SERVICES, LLC

Facility Address:
4150 W PEORIA AVE STE 112
PHOENIX, AZ
ZIP 85029
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Facility Phone Number: 602 997-0500

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1336246990

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	03D1105965
LAB Type	Home Health Agency
Facility Name	INTEGRITY HOME HEALTH CARE SERVICES, LLC
Street	4150 W PEORIA AVE STE 112
City	PHOENIX
State	AZ
ZIP	85029
Phone	602 997-0500
CertificateType	4
CertificateEffectiveDate	10/1/2023
CertificateExpirationDate	9/30/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024