Indpendence at Home PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

INDPENDENCE AT HOME PLLC

Practice address

541 Union St
Niles, MI 49120-1536

Phone

(248) 435-4606

NPI assigned

Jan 4, 2020

Organization subpart

No

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

Authorized official

Name

Bridget Benoit, OTR/LNPI 1104326503

Title

Owner

Phone

(248) 425-4606

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bridget Doyle Benoit

  • Occupational Therapist
  • Niles, MI
  • NPI 1104326503
  NPD Authorized official

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

{
    "created_epoch": "1578096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578096000000",
    "number": "1154960300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 UNION ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491201536",
            "telephone_number": "248-435-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 UNION ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491201536",
            "telephone_number": "248-435-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDPENDENCE AT HOME PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-04",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A",
        "authorized_official_last_name": "BENOIT",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-425-4606",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendell J Hyink, M.D.
• Jenna Ignowski, MA, CCC-SLP
• IHS Acquisition No. 150, Inc.
• Inchstones Behavioral Therapy PLLC
• Independence at Home PLLC
• Integrated Home Physicians PLLC
• Integrity Modern Wellness LLC
• Integrity Wellness
• Aaliyah Isaac
• Clarence James, MASTER OF SOCIAL WOR

• Occupational Therapist in Niles, MI
• Providers in Niles, MI by specialty
• Occupational Therapist in Michigan

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