Provider Demographics
NPI:1881090454
Name:INTEGRITY HOSPICE OF SOUTHWEST MISSOURI, INC.
Entity type:Organization
Organization Name:INTEGRITY HOSPICE OF SOUTHWEST MISSOURI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OTTO
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:REINERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-889-9773
Mailing Address - Street 1:2960 N EASTGATE AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65803-5746
Mailing Address - Country:US
Mailing Address - Phone:417-889-9773
Mailing Address - Fax:417-890-6840
Practice Address - Street 1:2960 N EASTGATE AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65803-5746
Practice Address - Country:US
Practice Address - Phone:417-889-9773
Practice Address - Fax:417-890-6840
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTEGRITY HOME CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO184-5HO251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based