1144937491 NPI number — INTEGRITY RESIDENTIAL CARE LLC

Table of content: SABRINA LIRA RIBEIRO NP, FNP (NPI 1447707468)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144937491 NPI number — INTEGRITY RESIDENTIAL CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTEGRITY RESIDENTIAL CARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144937491
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/04/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2 SHAMROCK DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GORHAM
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04038-2669
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-400-4806
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 SHAMROCK DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GORHAM
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04038-2669
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-400-4806
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/04/2022

Additional Information

Authorized Official

Authorized Official Last Name:
IRAGABA
Authorized Official First Name:
CADEAU
Authorized Official Middle Name:
Authorized Official Title or Position:
CO-OWNER
Authorized Official Telephone Number:
207-400-4806

Provider Taxonomy Codes

  • Taxonomy code: 320900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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