Provider Demographics
NPI:1104237502
Name:INTEGRITY HOSPICE CARE LLC
Entity type:Organization
Organization Name:INTEGRITY HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL SERVICE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:ANTHONY KAMWINAA
Authorized Official - Last Name:MWINYELLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:480-202-1674
Mailing Address - Street 1:6877 S KINGS RANCH RD STE 1
Mailing Address - Street 2:
Mailing Address - City:GOLD CANYON
Mailing Address - State:AZ
Mailing Address - Zip Code:85118-2997
Mailing Address - Country:US
Mailing Address - Phone:480-426-0255
Mailing Address - Fax:
Practice Address - Street 1:6877 S KINGS RANCH RD STE 2
Practice Address - Street 2:
Practice Address - City:GOLD CANYON
Practice Address - State:AZ
Practice Address - Zip Code:85118-2997
Practice Address - Country:US
Practice Address - Phone:480-426-0255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-20
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based