Active NPI
Integrity Hospice Care LLC
- Community Based Hospice Care Agency
- Gold Canyon, AZ
National Provider Identifier
1104237502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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, LLC
- Ownership
- For-Profit
- Certified
- Mar 3, 2015
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Frank a Mwinyelle | 5% Or Greater Direct Ownership Interest | May 14, 2014 | 100% |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.