Active NPI
Independent at Home, LLC
- Home Health Agency
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- INDEPENDENT AT HOME, LLC
- Practice address
- 56 Cherry St
3Rd Floor
Brockton, MA 02301-2608 - Phone
- (617) 943-9384
- Fax
- (888) 407-5574
- NPI assigned
- Aug 21, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary Johnson
- Title
- Resident Agent
- Phone
- (617) 943-9384
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
56 Cherry St
3Rd Floor
Brockton, MA 02301-2608
Mailing address
56 Cherry St
3Rd Floor
Brockton, MA 02301-2608
Phone (617) 943-9384
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Independent at Home LLC
- Ownership
- Proprietary
- Certified
- Sep 12, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryLocations
56 Cherry St
Fl 3
Brockton, MA 02301
Phone (508) 521-1020
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Brockton, MA
- NPI 1972859049
-
- Social Worker
- Brockton, MA
- NPI 1255671871
-
- Counselor
- Brockton, MA
- NPI 1659627503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389139200000",
"number": "1861740987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 CHERRY ST",
"address_2": "3RD FLOOR",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012608",
"telephone_number": "617-943-9384",
"fax_number": "888-407-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 CHERRY ST",
"address_2": "3RD FLOOR",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012608",
"telephone_number": "617-943-9384",
"fax_number": "888-407-5574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENT AT HOME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-21",
"last_updated": "2014-01-08",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "RESIDENT AGENT",
"authorized_official_telephone_number": "617-943-9384",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.