Independence Home Remodeling

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

ROC# 246007 Issued in AZ

Legal business name

INDEPENDENCE HOME REMODELING

Practice address

16035 N 23Rd PL
Phoenix, AZ 85022-3427

Phone

(602) 908-3380

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Michael K Ryan

Title

President

Phone

(602) 908-3380

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1568622017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16035 N 23RD PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223427",
            "telephone_number": "602-908-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16035 N 23RD PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223427",
            "telephone_number": "602-908-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE HOME REMODELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-908-3380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "ROC# 246007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frida Inayev
• Rivka Inayev, MS OTR/L
• Adrian A Indar, M.D,
• Daniel Nathan Indech, DDS
• Independence Coaching, L.L.C.
• Independent Hospitalists, PLLC
• Indian Health Services Transportation Management
• Indian School Medical Group, LLC
• Indie Laine Learning Co LLC
• Indigo Crest Wellness LLC

• Durable Medical Equipment & Medical Supplies in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.