Independence Care of Philadelphia, LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

INDEPENDENCE CARE OF PHILADELPHIA, LLC.

Practice address

3330 N Front St
Philadelphia, PA 19140-5808

Phone

(267) 405-4686

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Philip Viar

Title

Administrator

Phone

(267) 405-4686

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1013574367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W SADDLE RIVER RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405808",
            "telephone_number": "267-405-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE CARE OF PHILADELPHIA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "VIAR",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "267-405-4686",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103614776-0001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HHAExchange.com",
            "affiliation": "N",
            "endpointDescription": "HHA Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2 Logan Sq Ste 300",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191032733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jason A Incorvati, MD
• Giana Indelicato, CRNP
• Susan Wenick Inden, M.A.
• Indepedence Medical Associates P.C.
• Independence Charter School
• Independence Dental PC
• Independence Homecare Partners LLC
• Independence Imaging, LLC
• Independence Learning Centers for Autism

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.