Provider Demographics
NPI:1033341805
Name:INTEGRITY CARE SERVICES INC
Entity type:Organization
Organization Name:INTEGRITY CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NIZAR
Authorized Official - Middle Name:KAMEL
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-200-3648
Mailing Address - Street 1:1202 34TH AVE S
Mailing Address - Street 2:APARTMENT 304
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-5101
Mailing Address - Country:US
Mailing Address - Phone:701-200-3648
Mailing Address - Fax:
Practice Address - Street 1:1202 34TH AVE S
Practice Address - Street 2:APARTMENT 304
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-5101
Practice Address - Country:US
Practice Address - Phone:701-200-3648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA559178000Medicaid