Independence Human Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INDEPENDENCE HUMAN SERVICES, INC.

Practice address

3722 Benson Dr Ste 101
Raleigh, NC 27609-7321

Phone

(919) 930-5749

Fax

(919) 882-1277

NPI assigned

Apr 8, 2009

Last updated

Apr 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles F. Blackburn, PH.D.

Title

Managing Partner

Phone

(919) 830-5749

Specialties & licenses 3

Addresses

Tax ID family

Independence Human Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Independence Human Services, Inc.

  • Professional Counselor
  • Raleigh, NC
  • NPI 1841439684
  NPD tax ID

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1043453939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 BENSON DR STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097321",
            "telephone_number": "919-930-5749",
            "fax_number": "919-882-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 BENSON DR STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097321",
            "telephone_number": "919-930-5749",
            "fax_number": "919-882-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "919-830-5749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Home Health LLC (Heartland Home Health Care)
• In Home Health LLC (ProMedica Hospice (Raleigh))
• In Home Health, LLC (ProMedica Hospice (Raleigh))
• Kalista Morgan Inch
• Inclusive Pathways Counseling, PLLC
• Independence Human Services, Inc.
• Independent Living Technologies Inc. (ILTsource.com)
• Independent Nephrology Services, Inc. (INS - Raleigh)
• Independent Personal Training Studios
• Independently Moving, LLC

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.