Organization Active NPI

Independence Plus Inc

  • Nursing Care Agency
  • Oak Brook, IL
National Provider Identifier
1457591802
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
4000138 Issued in IL
Legal business name
INDEPENDENCE PLUS INC
Practice address
800 Jorie Blvd Ste 100
Oak Brook, IL 60523-2252
Phone
(708) 366-4500
Fax
(708) 366-4553
NPI assigned
Feb 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Les John Weiss
Title
Director of Finance
Phone
(708) 366-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 4000138 IL Primary

Addresses

Primary practice location

800 Jorie Blvd Ste 100
Oak Brook, IL 60523-2252

Mailing address

800 Jorie Blvd Ste 100
Oak Brook, IL 60523-2252
Phone (708) 366-4500

Other identifiers 1

IdentifierTypeStateIssuer
0001620242OtherILBLUE CROSS BLUE SHIELD OF ILLINOIS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930034282 IL DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Home Health AgencyDME Supplier - Oxygen & Equipment 5698822146 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oak Brook, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1457591802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 JORIE BLVD STE 100",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232252",
            "telephone_number": "708-366-4500",
            "fax_number": "630-954-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JORIE BLVD STE 100",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232252",
            "telephone_number": "708-366-4500",
            "fax_number": "708-366-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "LES",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "708-366-4500"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "4000138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
            "identifier": "0001620242",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.