@ Home Independence Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

@ HOME INDEPENDENCE SERVICES, LLC

Practice address

158 Meade St
Cedar Bluff, VA 24609-9342

Phone

(276) 963-3133

Fax

(276) 889-0350

NPI assigned

Feb 9, 2009

Last updated

Feb 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Michele Phillips

Title

Manager

Phone

(276) 963-3133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1841439296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 MEADE ST",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246099342",
            "telephone_number": "276-963-3133",
            "fax_number": "276-889-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 MEADE ST",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246099342",
            "telephone_number": "276-963-3133",
            "fax_number": "276-889-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "@ HOME INDEPENDENCE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "276-963-3133"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Cedar Bluff, VA
• Providers in Cedar Bluff, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.