Provider Demographics
NPI:1427747765
Name:INTEGRITY COMPANION CARE LLC
Entity type:Organization
Organization Name:INTEGRITY COMPANION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:GN
Authorized Official - Phone:352-440-8643
Mailing Address - Street 1:2249 SE 44TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32641-8928
Mailing Address - Country:US
Mailing Address - Phone:352-440-8643
Mailing Address - Fax:
Practice Address - Street 1:6717 NW 11TH PL STE B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4233
Practice Address - Country:US
Practice Address - Phone:352-575-8568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care