Organization Active NPI

Ultimate Independence LLC

  • Durable Medical Equipment & Medical Supplies
  • Plainfield, IL
National Provider Identifier
1790438976
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ULTIMATE INDEPENDENCE LLC
Practice address
15100 S Indian Boundary Line Rd Ste 2
Plainfield, IL 60544-7529
Phone
(815) 782-6484
Fax
(815) 230-5028
NPI assigned
Jan 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Mrs. Deborah Ann Houtz
Title
Managing Partner
Phone
(815) 782-6484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

15100 S Indian Boundary Line Rd Ste 2
Plainfield, IL 60544-7529

Mailing address

15100 S Indian Boundary Line Rd Ste 2
Plainfield, IL 60544-7529
Phone (815) 782-6484

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://ultimate-independence.com/

National Provider Directory

National Provider Directory

Locations

15100 S Indian Boundary Line Rd
Ste 2
Plainfield, IL 60544
Phone (815) 782-6484

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1790438976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 S INDIAN BOUNDARY LINE RD STE 2",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605447529",
            "telephone_number": "815-782-6484",
            "fax_number": "815-230-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 S INDIAN BOUNDARY LINE RD STE 2",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605447529",
            "telephone_number": "815-782-6484",
            "fax_number": "815-230-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE INDEPENDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "HOUTZ",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "815-782-6484",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ultimate-independence.com/",
            "affiliation": "N",
            "address_1": "15100 S Indian Boundary Line Rd Ste 2",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605447529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.