Independence Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INDEPENDENCE HOME HEALTH LLC

Practice address

316 Wiltshire Blvd
Lewisville, TX 75056-6242

Phone

(469) 455-1797

NPI assigned

Nov 19, 2019

Organization subpart

No

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

Authorized official

Name

Manika Gupta

Title

Administrator

Phone

(469) 445-1797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747993

Legal name

INDEPENDENCE HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 9, 2020

Last certification

Oct 9, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Oct 2, 2019 in TX

Enrollment address

316 Wiltshire Blvd
Lewisville, TX 75056-6242
HHA Branch

Listed as

Independence Home Health LLCCCN 747993

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Oct 9, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Steffini Jung Stalos, DO

  • Clinical Pathology Physician
  • Dallas, TX
  • NPI 1619170107

  Home health agency

  Care Compare affiliation
• Midhat Syed, PA

  • Surgical Physician Assistant
  • Dallas, TX
  • NPI 1437631512

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1245876788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 WILTSHIRE BLVD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750566242",
            "telephone_number": "469-455-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 WILTSHIRE BLVD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750566242",
            "telephone_number": "469-455-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "MANIKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-445-1797"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Zainab Ilahi, MD
• Saskia Nneka Iloba, RN
• Olakunle Iluyomade, MD
• Infinite Healthcare Solutions LLC
• Infinity Smile Center PLLC
• Informed Care Solutions, Inc.
• Victoria Elizabeth Inghram, MCN, RD, LD
• Innovate 360 LLC

• Home Health Agency in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.