Independence Support Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INDEPENDENCE SUPPORT SERVICES LLC

Practice address

22313 Gregory St Apt 2
Dearborn, MI 48124-3795

Phone

(617) 688-7761

NPI assigned

Jun 23, 2026

Organization subpart

No

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

Authorized official

Name

Joshua Kellee Mendes-Yesufu

Title

Ceo

Phone

(617) 688-7761

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1679409890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22313 GREGORY ST APT 2",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243795",
            "telephone_number": "617-688-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22313 GREGORY ST APT 2",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243795",
            "telephone_number": "617-688-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "MENDES-YESUFU",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "KELLEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-688-7761"
    },
    "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 Jun 23, 2026; 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.