Independence Skilled Care, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INDEPENDENCE SKILLED CARE, LLC.

Practice address

8000 Nisky Center
Suite 16a
St. Thomas, VI 00802

Phone

(340) 693-6005

NPI assigned

Feb 20, 2023

Organization subpart

Yes

Parent organization

INDEPENDENCE HOME HEALTH HOLDINGS, LLC.As reported in NPPES

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

Authorized official

Name

Mr. Cletis G Clendinen

Title

Chief Operating Officer

Phone

(340) 227-6468

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1508564493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 NISKY CENTER",
            "address_2": "SUITE 16A",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-693-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 NISKY CENTER",
            "address_2": "SUITE 16A",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-693-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE SKILLED CARE, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDEPENDENCE HOME HEALTH HOLDINGS, LLC.",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "CLENDINEN",
        "authorized_official_first_name": "CLETIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "340-227-6468",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.