Organization Active NPI

Target Independence LLC

  • Home Health Agency
  • Kalamazoo, MI
National Provider Identifier
1407098205
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5501010462 Issued in MI
Legal business name
TARGET INDEPENDENCE LLC
Practice address
9173 Stratford Woods TRL
Kalamazoo, MI 49009-4411
Phone
(269) 903-5836
NPI assigned
Mar 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Mr. Richard Klemmer, PT
Title
President
Phone
(269) 353-7812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5501010462 MI Primary

Addresses

Primary practice location

9173 Stratford Woods TRL
Kalamazoo, MI 49009-4411

Mailing address

9173 Stratford Woods TRL
Kalamazoo, MI 49009-4411
Phone (269) 903-5836

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1407098205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9173 STRATFORD WOODS TRL",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490094411",
            "telephone_number": "269-903-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9173 STRATFORD WOODS TRL",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490094411",
            "telephone_number": "269-903-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET INDEPENDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "KLEMMER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-353-7812",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "5501010462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.