Organization
GREAT INTEGRITY LLC
Active
Other names
Great Integrity LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHAJMARA RHODES (OWNER)
(908) 875-3204
Entity
Organization
Contact information
Practice address
46 W 12TH ST, LINDEN, NJ 07036, LINDEN, NJ 07036-0703
(908) 875-3204
Mailing address
46 W 12TH ST, LINDEN, NJ 07036, LINDEN, NJ 07036-4602
(908) 875-3204
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450822501
DDD
NJ
05
—
0450822501
—
NJ
Enumeration date
12/20/2022
Last updated
12/20/2022
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