NPIMap

Organization Active NPI

Terrace Home Health Independence LLC

  • In Home Supportive Care Agency
  • Independence, MO
National Provider Identifier
1356954200
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TERRACE HOME HEALTH INDEPENDENCE LLC
Practice address
4721 S Cliff Ave Ste 211
Independence, MO 64055-6969
Phone
(816) 441-0000
Fax
(816) 441-0001
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Joseph Rudd
Title
Director of Financial Services
Phone
(208) 710-8066

Specialties & licenses 1

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

Addresses

Primary practice location

4721 S Cliff Ave Ste 211
Independence, MO 64055-6969

Mailing address

PO Box 52350
Idaho Falls, ID 83405-2350
Phone (208) 710-8066

Other names 1

  • Terrace Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Terrace Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1356954200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52350",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834052350",
            "telephone_number": "208-710-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 S CLIFF AVE STE 211",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556969",
            "telephone_number": "816-441-0000",
            "fax_number": "816-441-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACE HOME HEALTH INDEPENDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCIAL SERVICES",
        "authorized_official_telephone_number": "208-710-8066"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terrace Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.