MEDICARE: INTEGRITY 1ST COMMUNITY LIVING 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	385H00000X	Respite Care
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1972439297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY 1ST COMMUNITY LIVING LLC

Provider Business Mailing Address
First Line	:	525 N WASHINGTON AVE STE 8
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-4634
Country	:	US
Telephone Number	:	870-510-4061
Fax Number	:	870-639-3861

Provider Business Practice Location Address
First Line	:	525 N WASHINGTON AVE STE 8
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-4634
Country	:	US
Telephone Number	:	870-510-4061
Fax Number	:	870-639-3861

Authorized Official
Title or Position	:	CHIEF EXECUTIVE DIRECTOR
Name	:	BARBARA L BREGGS
Credential	:
Telephone Number	:	870-510-4061

Provider Enumeration Date	:	06/23/2026
Last Update Date	:	06/23/2026

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