At Home Independence,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AT HOME INDEPENDENCE,LLC

Practice address

216 W Cherry St
Nevada, MO 64772-3362

Phone

(417) 448-8960

Fax

(417) 448-6555

NPI assigned

Jun 15, 2011

Last updated

Apr 4, 2024By 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

Kimberly Sue Delgado, PSY D, LPCNPI 1699756239

Title

Ceo & Executive Director

Phone

(417) 448-8960

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly S Delgado, PSY.D.

  • Professional Counselor
  • Nevada, MO
  • NPI 1699756239
  Authorized official Same address or phone

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1134414303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W CHERRY ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723362",
            "telephone_number": "417-448-8960",
            "fax_number": "417-448-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W CHERRY ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723362",
            "telephone_number": "417-448-8960",
            "fax_number": "417-448-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME INDEPENDENCE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CEO & EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "417-448-8960",
        "authorized_official_credential": "PSY D, LPC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Nevada, MO
• Providers in Nevada, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.