Organization Active NPI

Independence Unlimited Inc.

  • Home Health Agency
  • Junction City, OH
National Provider Identifier
1366563298
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2301048 Issued in OH
Legal business name
INDEPENDENCE UNLIMITED INC.
Practice address
460 Logan St S
Junction City, OH 43748-9651
Phone
(740) 987-8123
Fax
(740) 987-8393
NPI assigned
Apr 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bridgett Ann Canter
Title
Ceo
Phone
(740) 987-8123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2301048 OH Primary

Addresses

Primary practice location

460 Logan St S
Junction City, OH 43748-9651

Mailing address

460 Logan St S
Junction City, OH 43748-9651
Phone (740) 987-8123

Other identifiers 2

IdentifierTypeStateIssuer
2301048OtherOHODMRDD PROVIDER NUMBER
2471909MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366563298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 LOGAN ST S",
            "city": "JUNCTION CITY",
            "state": "OH",
            "postal_code": "437489651",
            "telephone_number": "740-987-8123",
            "fax_number": "740-987-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 LOGAN ST S",
            "city": "JUNCTION CITY",
            "state": "OH",
            "postal_code": "437489651",
            "telephone_number": "740-987-8123",
            "fax_number": "740-987-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE UNLIMITED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANTER",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-987-8123"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2301048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODMRDD PROVIDER NUMBER",
            "identifier": "2301048",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2471909",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.