Organization Active NPI

Integrity Hospice Care LLC

  • Community Based Hospice Care Agency
  • Gold Canyon, AZ
National Provider Identifier
1104237502
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
INTEGRITY HOSPICE CARE LLC
Practice address
6877 S Kings Ranch Rd Ste 2
Gold Canyon, AZ 85118-2997
Phone
(480) 426-0255
NPI assigned
May 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Frank Anthony Kamwinaa Mwinyelle, RN, BSN
Title
Owner/Clinical Service Director
Phone
(480) 202-1674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X AZ Primary

Addresses

Primary practice location

6877 S Kings Ranch Rd Ste 2
Gold Canyon, AZ 85118-2997

Mailing address

6877 S Kings Ranch Rd Ste 1
Gold Canyon, AZ 85118-2997
Phone (480) 426-0255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140904000469 AZ Part A Provider - Hospice 3971721903 Practice locations: Gold Canyon, AZ

Hospice certification: CCN 031635

Legal name
INTEGRITY HOSPICE CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 3, 2015
Last certification
Jan 29, 2021
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Apr 4, 2014 in AZ
Enrollment address
6877 S Kings Ranch Rd
Ste 1
Gold Canyon, AZ 85118-2997

Care Compare: Hospice

Medicare Care Compare
Listed as
Integrity Hospice Care, LLCCCN 031635
Ownership
For-Profit
Certified
Mar 3, 2015
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6877 S Kings Ranch Rd
Ste 1
Gold Canyon, AZ 85118
Phone (203) 350-9306

6877 S Kings Ranch Rd
Ste 2
Gold Canyon, AZ 85118
Phone (480) 426-0255

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Frank a Mwinyelle Individual 5% Or Greater Direct Ownership Interest May 14, 2014 100%
W-2 Managing EmployeeCeo May 14, 2014 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1104237502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6877 S KINGS RANCH RD STE 1",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182997",
            "telephone_number": "480-426-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6877 S KINGS RANCH RD STE 2",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182997",
            "telephone_number": "480-426-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "MWINYELLE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "ANTHONY KAMWINAA",
        "authorized_official_title_or_position": "OWNER/CLINICAL SERVICE DIRECTOR",
        "authorized_official_telephone_number": "480-202-1674",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold Canyon, AZ

Sources for this page

Verify at the official NPI Registry.