Provider Demographics
NPI:1194097741
Name:INTEGRITY CARE OF THE WEST, INC.
Entity type:Organization
Organization Name:INTEGRITY CARE OF THE WEST, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERSHATSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-275-4649
Mailing Address - Street 1:15130 VENTURA BLVD
Mailing Address - Street 2:304
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3301
Mailing Address - Country:US
Mailing Address - Phone:818-275-4649
Mailing Address - Fax:
Practice Address - Street 1:15130 VENTURA BLVD
Practice Address - Street 2:304
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3301
Practice Address - Country:US
Practice Address - Phone:818-275-4649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-29
Last Update Date:2012-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based