Active NPI
At Home Independence in Home Care
- Home Health Agency
- Nevada, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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., LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Nevada, MO
- NPI 1699756239
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.