Healthcare Provider Details

I. General information

NPI: 1912372228
Provider Name (Legal Business Name): INTEGRITY LIVING CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2015
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11507 S HIGHWAY 6 STE B
SUGAR LAND TX
77498-4940
US

IV. Provider business mailing address

11507 S HIGHWAY 6 STE B
SUGAR LAND TX
77498-4940
US

V. Phone/Fax

Practice location:
  • Phone: 832-400-2851
  • Fax: 832-479-4045
Mailing address:
  • Phone: 832-400-2851
  • Fax: 832-479-4045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SOPHIE KING
Title or Position: DIRECTOR
Credential:
Phone: 909-205-5146