MEDICARE: INTEGRITY IN-HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1942902705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY IN-HOME CARE LLC

Provider Business Mailing Address
First Line	:	382 MERCER AVE
Second Line	:
City	:	GEORGETOWN
State	:	SC
Zip	:	29440-2266
Country	:	US
Telephone Number	:	843-318-0684
Fax Number	:

Provider Business Practice Location Address
First Line	:	14361 OCEAN HWY # 304
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-4806
Country	:	US
Telephone Number	:	843-314-9040
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. ZYAIRE AREEYA BURROUGHS
Credential	:
Telephone Number	:	843-318-0684

Provider Enumeration Date	:	03/17/2023
Last Update Date	:	03/17/2023

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