Provider Demographics
NPI:1790207322
Name:INTEGRITY CARE LLC
Entity Type:Organization
Organization Name:INTEGRITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLURANTI
Authorized Official - Middle Name:
Authorized Official - Last Name:LADAPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-463-7111
Mailing Address - Street 1:133 N 4TH ST STE 605
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47901-1383
Mailing Address - Country:US
Mailing Address - Phone:765-463-7111
Mailing Address - Fax:
Practice Address - Street 1:133 N 4TH ST STE 605
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47901-1383
Practice Address - Country:US
Practice Address - Phone:765-463-7111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN012385251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201007700AMedicaid