Organization Active NPI

Independence Support Services LLC

  • In Home Supportive Care Agency
  • Nineveh, IN
National Provider Identifier
1831808591
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INDEPENDENCE SUPPORT SERVICES LLC
Practice address
8282 S Nineveh Rd
Nineveh, IN 46164-9705
Phone
(317) 933-3310
Fax
(317) 933-3311
NPI assigned
Nov 21, 2022
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Mrs. Melissa A Rutherford
Title
Administrator
Phone
(317) 954-8328

Specialties & licenses 1

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

Addresses

Primary practice location

8282 S Nineveh Rd
Nineveh, IN 46164-9705

Mailing address

8282 S Nineveh Rd
Nineveh, IN 46164-9705
Phone (317) 933-3310

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1831808591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8282 S NINEVEH RD",
            "city": "NINEVEH",
            "state": "IN",
            "postal_code": "461649705",
            "telephone_number": "317-933-3310",
            "fax_number": "317-933-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8282 S NINEVEH RD",
            "city": "NINEVEH",
            "state": "IN",
            "postal_code": "461649705",
            "telephone_number": "317-933-3310",
            "fax_number": "317-933-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-954-8328",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nineveh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.