Provider Demographics
NPI:1780131573
Name:INTEGRITY GROUP HOME CORPORATION
Entity type:Organization
Organization Name:INTEGRITY GROUP HOME CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:N
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-299-3761
Mailing Address - Street 1:15025 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7636
Mailing Address - Country:US
Mailing Address - Phone:786-205-7753
Mailing Address - Fax:305-513-5067
Practice Address - Street 1:15025 MONROE ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-7636
Practice Address - Country:US
Practice Address - Phone:786-205-7753
Practice Address - Fax:305-513-5067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12889310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility