Independence Personal Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

INDEPENDENCE PERSONAL CARE LLC

Practice address

8282 S Nineveh Rd
Nineveh, IN 46164-9705

Phone

(317) 933-3310

Fax

(317) 933-3311

NPI assigned

Oct 20, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa A Rutherford, RN

Title

Administrator

Phone

(317) 954-8328

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1376260489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8282 S NINEVEH RD",
            "city": "NINEVEH",
            "state": "IN",
            "postal_code": "461649705",
            "telephone_number": "317-933-3310",
            "fax_number": "317-933-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8282 S NINEVEH RD",
            "city": "NINEVEH",
            "state": "IN",
            "postal_code": "461649705",
            "telephone_number": "317-933-3310",
            "fax_number": "317-933-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-954-8328",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201134950A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald D Barton Sr., BSN / RRT
• Cordry-Sweetwater Volunteer Fire Department & Ambulance Corps, Inc.
• Samantha Hammond
• Independence Home Health LLC
• Independence Support Services LLC
• Nineveh-Township-Volunteer-Fire Department Inc
• Linda Lee O'Malley, FNP
• Katie Kathren Suiters
• Erika Tex, COTA

• In Home Supportive Care Agency in Nineveh, IN
• Providers in Nineveh, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.