Provider Demographics
NPI:1902149040
Name:INTEGRITY HOME CARE LLC
Entity Type:Organization
Organization Name:INTEGRITY HOME CARE LLC
Other - Org Name:INTEGRITY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NUSHEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:REYKANDEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-500-8933
Mailing Address - Street 1:6012 ODELIA LN
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-2773
Mailing Address - Country:US
Mailing Address - Phone:916-500-8933
Mailing Address - Fax:
Practice Address - Street 1:6012 ODELIA LN
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-2773
Practice Address - Country:US
Practice Address - Phone:916-500-8933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA347005244251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health