Provider Demographics
NPI:1760249197
Name:INTEGRITY SENIOR CARE LLC
Entity Type:Organization
Organization Name:INTEGRITY SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:STODDARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-704-5352
Mailing Address - Street 1:4175 S RILEY ST STE 203
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8717
Mailing Address - Country:US
Mailing Address - Phone:702-704-5352
Mailing Address - Fax:702-583-4004
Practice Address - Street 1:4175 S RILEY ST STE 203
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8717
Practice Address - Country:US
Practice Address - Phone:702-704-5352
Practice Address - Fax:702-583-4004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care