Independence Home Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550001049 Issued in CA

Legal business name

INDEPENDENCE HOME HEALTHCARE, INC.

Practice address

9744 Maple St
Suite 102
Bellflower, CA 90706-5889

Phone

(562) 303-9985

Fax

(562) 303-9986

NPI assigned

Jan 30, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Patricia I. Perez

Title

President

Phone

(562) 303-9985

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264809600000",
    "number": "1003148149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9744 MAPLE ST",
            "address_2": "SUITE 102",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065889",
            "telephone_number": "562-303-9985",
            "fax_number": "562-303-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9744 MAPLE ST",
            "address_2": "SUITE 102",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065889",
            "telephone_number": "562-303-9985",
            "fax_number": "562-303-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-30",
        "last_updated": "2010-01-30",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-303-9985",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.