Independence Home Health Services, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

1011389 Issued in IL

Legal business name

INDEPENDENCE HOME HEALTH SERVICES, INC.

Practice address

5648 W Lawrence Ave Ste a
Chicago, IL 60630-3220

Phone

(773) 481-6525

Fax

(773) 481-6528

NPI assigned

Dec 30, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Soomar Rajper, PTNPI 1336363399

Title

President/Owner

Phone

(773) 481-6525

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soomar Rajper

  • Physical Therapist
  • Darien, IL
  • NPI 1336363399
  NPD (past) Authorized official
• Talha Shamsi

  • Physical Therapist
  • Darien, IL
  • NPI 1568595882
  NPD (past)

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1831469394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5648 W. LAWRENCE AVE,, SUITE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303220",
            "telephone_number": "773-481-6525",
            "fax_number": "773-481-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5648 W LAWRENCE AVE STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303220",
            "telephone_number": "773-481-6525",
            "fax_number": "773-481-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "RAJPER",
        "authorized_official_first_name": "SOOMAR",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "773-481-6525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "1011389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PUBLIC HEALTH LICENSE",
            "identifier": "1011389",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inclusive Therapies
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• Independence Care of Chicago LLC
• Independence Family Dental
• Independent Living Solutions, Inc.
• Independent Physician Group of Illinois
• Independent Physicians at Mercy
• Independent Physicians' Aco of Chicago, LLC
• Independent Provider

• Health Service Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.