Organization Active NPI

Independence at Home LLC.

  • In Home Supportive Care Agency
  • Johnstown, PA
National Provider Identifier
1407365299
Registry record updated May 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INDEPENDENCE AT HOME LLC.
Practice address
422 Main St Ste 202
Johnstown, PA 15901-1824
Phone
(582) 400-3028
NPI assigned
Sep 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2023

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

Authorized official

Name
Tianna R DukesNPI 1255143749
Title
Owner
Phone
(267) 616-3766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

422 Main St Ste 202
Johnstown, PA 15901-1824

Mailing address

422 Main St Ste 202
Johnstown, PA 15901-1824
Phone (582) 400-3028

Other practice location 1

401 Market st
Rear
Johnstown, PA 15901
Phone (814) 244-4377 ext. 81424

Other practice location 2

4809 Lily Stem Dr
Auburn, GA 30011
Phone (706) 501-2677

National Provider Directory

National Provider Directory
Tax ID family
Independence at Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683331200000",
    "number": "1407365299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 MAIN ST STE 202",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011824",
            "telephone_number": "582-400-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MAIN ST STE 202",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011824",
            "telephone_number": "582-400-3028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Market st",
            "address_2": "Rear",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "15901",
            "country_code": "US",
            "telephone_number": "814-244-4377 x81424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4809 Lily Stem Dr",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "GA",
            "postal_code": "30011",
            "country_code": "US",
            "telephone_number": "706-501-2677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDEPENDENCE AT HOME LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A",
        "authorized_official_last_name": "DUKES",
        "authorized_official_first_name": "TIANNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-616-3766"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.