Organization Active NPI

Independence Assistance, Inc.

  • In Home Supportive Care Agency
  • Redlands, CA
National Provider Identifier
1730523226
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1000696 Issued in CA
Legal business name
INDEPENDENCE ASSISTANCE, INC.
Practice address
278 Tennessee St Ste 3
Redlands, CA 92373-1413
Phone
(909) 798-2700
Fax
(909) 798-2772
NPI assigned
Apr 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Sharon Whiteside
Title
Owner
Phone
(909) 798-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1000696 CA Primary

Addresses

Primary practice location

278 Tennessee St Ste 3
Redlands, CA 92373-1413

Mailing address

278 Tennessee St Ste 3
Redlands, CA 92373-1413
Phone (909) 798-2700

National Provider Directory

National Provider Directory

Locations

278 Tennessee St
Ste 3
Redlands, CA 92373
Phone (909) 798-2700

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1730523226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 TENNESSEE ST STE 3",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923731413",
            "telephone_number": "909-798-2700",
            "fax_number": "909-798-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 TENNESSEE ST STE 3",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923731413",
            "telephone_number": "909-798-2700",
            "fax_number": "909-798-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE ASSISTANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-798-2700"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "1000696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.