Healthcare Provider Details

I. General information

NPI: 1871303875
Provider Name (Legal Business Name): INTEGRITY BUILDERS HOLDING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 05/03/2025
Certification Date: 05/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13515 LAWING DR # C
SOUTH CHESTERFIELD VA
23834-6018
US

IV. Provider business mailing address

1170 CUMBERLAND DR
COLONIAL HEIGHTS VA
23834-1928
US

V. Phone/Fax

Practice location:
  • Phone: 804-461-3003
  • Fax: 999-999-9999
Mailing address:
  • Phone: 804-687-2244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. LAWRENCE EDWARD WEST JR.
Title or Position: CEO
Credential:
Phone: 804-461-3003