Organization Active NPI

At Home Independence in Home Care

  • Home Health Agency
  • Nevada, MO
National Provider Identifier
1215428735
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AT HOME INDEPENDENCE IN HOME CARE
Practice address
216 W Cherry St
Nevada, MO 64772-3362
Phone
(417) 448-8960
Fax
(417) 448-6555
NPI assigned
May 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Dr. Kimberly Sue Delgado, PSY D., LPCNPI 1699756239
Title
Executive Director
Phone
(417) 448-8960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Respite Care 385H00000X

Addresses

Primary practice location

216 W Cherry St
Nevada, MO 64772-3362

Mailing address

216 W Cherry St
Nevada, MO 64772-3362
Phone (417) 448-8960

Other practice location 1

129 N Main St
Nevada, MO 64772-2330
Phone (417) 448-8960

National Provider Directory

National Provider Directory

Locations

216 W Cherry St
Nevada, MO 64772
Phone (417) 448-8960

100 S Prewitt St
Nevada, MO 64772
Phone (417) 283-2072

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1215428735",
    "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": [
        {
            "address_1": "129 N Main St",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "MO",
            "postal_code": "647722330",
            "country_code": "US",
            "telephone_number": "417-448-8960",
            "fax_number": "417-448-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AT HOME INDEPENDENCE IN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "417-448-8960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D., LPC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.