Active NPI
Independence in-Home Care
- Nurse's Aide
- Hawkinsville, GA
National Provider Identifier
1073663860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 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 Care
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nurse's Aide
- Hawkinsville, GA
- NPI 1689887267
-
- Nurse's Aide
- Hawkinsville, GA
- NPI 1932248481
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.