Provider Demographics
NPI:1699009803
Name:INTEGRITY FAMILY HOME CARE LLC
Entity Type:Organization
Organization Name:INTEGRITY FAMILY HOME CARE LLC
Other - Org Name:CHOICE HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:LANIER
Authorized Official - Suffix:
Authorized Official - Credentials:COO/LVN
Authorized Official - Phone:903-932-1852
Mailing Address - Street 1:6760 OLD JACKSONVILLE HIGHWAY
Mailing Address - Street 2:STE. 101
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-0566
Mailing Address - Country:US
Mailing Address - Phone:855-485-8273
Mailing Address - Fax:888-333-8977
Practice Address - Street 1:6760 OLD JACKSONVILLE HIGHWAY
Practice Address - Street 2:STE. 101
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-0566
Practice Address - Country:US
Practice Address - Phone:855-485-8273
Practice Address - Fax:888-333-8977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX458261Medicare PIN