Organization Active NPI

Independence in-Home Care

  • Nurse's Aide
  • Hawkinsville, GA
National Provider Identifier
1073663860
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
INDEPENDENCE IN-HOME CARE
Practice address
316 Merritt St
Hawkinsville, GA 31036-1733
Phone
(478) 621-2070
Fax
(866) 773-8473
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Claudette Slade, CPA
Title
Vice President of Finance
Phone
(478) 621-2070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193400000X SINGLE SPECIALTY GROUP 376K00000X GA Primary

Addresses

Primary practice location

316 Merritt St
Hawkinsville, GA 31036-1733

Mailing address

PO Box 952
Hawkinsville, GA 31036-0952
Phone (478) 621-2070

National Provider Directory

National Provider Directory
Tax ID family
Independence in-Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073663860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310360952",
            "telephone_number": "478-621-2070",
            "fax_number": "866-773-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MERRITT ST",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310361733",
            "telephone_number": "478-621-2070",
            "fax_number": "866-773-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE IN-HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLADE",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "478-621-2070",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.