At Home Independence Quality Home Care,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AT HOME INDEPENDENCE QUALITY HOME CARE,LLC

Practice address

216 W Cherry St
Nevada, MO 64772-3362

Phone

(417) 448-8960

Fax

(417) 448-6555

NPI assigned

Feb 13, 2020

Last updated

Mar 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly S Delgado, PSY D, LPCNPI 1699756239

Title

Ceo/Executive Director

Phone

(417) 448-8960

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467085811. Details of each certification follow.

• CCN 267681 Home health agency · Active · Details

Home health agency certification: CCN 267681

Legal name

AT HOME INDEPENDENCE QUALITY HOME CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 20, 2023

Last certification

Oct 26, 2023

Organization structure

LLCProprietary

Incorporated

Nov 12, 2019 in MO

Enrollment address

216 W Cherry St
Nevada, MO 64772-3362

Listed as

At Home Independence Quality Home Care, LLCCCN 267681 · All quality measures

Ownership

-

Certified

Nov 20, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly S Delgado, PSY.D.

  • Professional Counselor
  • Nevada, MO
  • NPI 1699756239
  NPD Authorized official

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1467085811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W CHERRY ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723362",
            "telephone_number": "417-448-8960",
            "fax_number": "417-448-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W CHERRY ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723362",
            "telephone_number": "417-448-8960",
            "fax_number": "417-448-6555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Gulf St",
            "address_purpose": "LOCATION",
            "city": "LaMar",
            "state": "MO",
            "postal_code": "647591408",
            "country_code": "US",
            "telephone_number": "417-448-0565",
            "fax_number": "417-667-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 W Cherry St",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "MO",
            "postal_code": "647723361",
            "country_code": "US",
            "telephone_number": "417-448-8960",
            "fax_number": "417-448-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AT HOME INDEPENDENCE QUALITY HOME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "417-448-8960",
        "authorized_official_credential": "PSY D, LPC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260088991",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495908006",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267126100",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280088995",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.