Independence Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

BT30035858 Issued in CA

Legal business name

INDEPENDENCE HOME CARE, INC.

Practice address

4500 Campus Dr
Suite #318
Newport Beach, CA 92660-1814

Phone

(949) 357-6121

Fax

(949) 209-1981

NPI assigned

Jun 23, 2011

Organization subpart

No

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

Authorized official

Name

Brian Joseph Nowell, C.N.A., C.M.A.

Title

President and C.E.O.

Phone

(949) 338-2587

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1699061127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 CAMPUS DR",
            "address_2": "SUITE #318",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601814",
            "telephone_number": "949-357-6121",
            "fax_number": "949-209-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 CAMPUS DR",
            "address_2": "SUITE #318",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601814",
            "telephone_number": "949-357-6121",
            "fax_number": "949-209-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "NOWELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT AND C.E.O.",
        "authorized_official_telephone_number": "949-338-2587",
        "authorized_official_credential": "C.N.A., C.M.A."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "BT30035858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.