Independence Home Health of the Palm Beaches. LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INDEPENDENCE HOME HEALTH OF THE PALM BEACHES. LLC.

Doing business as

Independence Home Health of the Palm Beaches, LLC.

Practice address

2151 45TH St Ste 308
West Palm Beach, FL 33407-2011

Phone

(561) 855-6963

Fax

(561) 855-6970

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Brian Butler

Title

Owner

Phone

(561) 827-6353

Specialties & licenses 1

Addresses

Other names 1

• Independence Home Health of the Palm Beaches, LLC. Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687307

Legal name

INDEPENDENCE HOME HEALTH OF THE PALM BEACHES. LLC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 9, 2024

Last certification

Mar 21, 2024

Organization structure

LLCProprietary

Incorporated

Oct 14, 2022 in FL

Enrollment address

2151 45TH St
Ste 308
West Palm Beach, FL 33407-2011

Listed as

Independence Home Health of the Palm Beaches, LLCCCN 687307 · All quality measures

Overall star rating

2 of 5

Ownership

-

Certified

Apr 9, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Daniel A. Jones, MD

  • Orthopaedic Surgery Physician
  • Stuart, FL
  • NPI 1265744205

  Home health agency

  Care Compare affiliation
• William Robert Monahan, DO

  • Orthopaedic Surgery Physician
  • Stuart, FL
  • NPI 1770088452

  Home health agency

  Care Compare affiliation
• Matthew Motisi, D.O.

  • Orthopaedic Surgery Physician
  • Boynton Beach, FL
  • NPI 1831567130

  Home health agency

  Care Compare affiliation
• Taylor Rae Tendrich, DPM

  • Podiatrist
  • Jupiter, FL
  • NPI 1912460130

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1437865086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 45TH ST STE 308",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072011",
            "telephone_number": "561-855-6963",
            "fax_number": "561-855-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 45TH ST STE 308",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072011",
            "telephone_number": "561-855-6963",
            "fax_number": "561-855-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE HOME HEALTH OF THE PALM BEACHES. LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-827-6353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independence Home Health of the Palm Beaches, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.