Provider Demographics
NPI:1073529525
Name:INTEGRITY HEALTHCARE INC
Entity Type:Organization
Organization Name:INTEGRITY HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASILDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MUNIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-512-2990
Mailing Address - Street 1:4445 W 16 AVENUE
Mailing Address - Street 2:SUITE 300A
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012
Mailing Address - Country:US
Mailing Address - Phone:305-512-2990
Mailing Address - Fax:305-512-2989
Practice Address - Street 1:4445 W 16 AVENUE
Practice Address - Street 2:SUITE 300A
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012
Practice Address - Country:US
Practice Address - Phone:305-512-2990
Practice Address - Fax:305-512-2989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992248251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651262300Medicaid
FL651262300Medicaid