Organization Active NPI

Independence Care of Pennsylvania, LLC.

  • In Home Supportive Care Agency
  • Lancaster, PA
National Provider Identifier
1235770843
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INDEPENDENCE CARE OF PENNSYLVANIA, LLC.
Practice address
1630 Manheim Pike Ste 15
Lancaster, PA 17601-3065
Phone
(717) 429-0742
NPI assigned
Oct 4, 2019
Last updated
Nov 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Philip Viar
Title
President
Phone
(717) 429-0742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1630 Manheim Pike Ste 15
Lancaster, PA 17601-3065

Mailing address

517 W Saddle River Rd
Upper Saddle River, NJ 07458-1138

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL HHAExchange.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1630 Manheim Pike
Ste 15
Lancaster, PA 17601
Phone (717) 429-0742

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1235770843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W SADDLE RIVER RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MANHEIM PIKE STE 15",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013065",
            "telephone_number": "717-429-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE CARE OF PENNSYLVANIA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "VIAR",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-429-0742"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HHAExchange.com",
            "affiliation": "N",
            "endpointDescription": "HHA Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5 Great Valley Pkwy Ste 210",
            "city": "Malvern",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193551426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.