Provider Demographics
NPI:1104537992
Name:INTEGRITY GROUP HOME CORPORATION II
Entity type:Organization
Organization Name:INTEGRITY GROUP HOME CORPORATION II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-299-3761
Mailing Address - Street 1:20945 SW 130TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-6243
Mailing Address - Country:US
Mailing Address - Phone:786-299-3761
Mailing Address - Fax:305-513-5067
Practice Address - Street 1:20945 SW 130TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-6243
Practice Address - Country:US
Practice Address - Phone:786-299-3761
Practice Address - Fax:305-513-5067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL13757OtherAHCA