Organization Active NPI

Independent Home LLC

  • Lodging Provider
  • Yuba City, CA
National Provider Identifier
1871428987
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
INDEPENDENT HOME LLC
Practice address
1615 Esplanade Way
Yuba City, CA 95993-1010
Phone
(530) 674-1129
Fax
(530) 674-1129
NPI assigned
Jun 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Aida Diaz Goines, HOME
Title
Manager
Phone
(530) 635-7585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X Primary

Addresses

Primary practice location

1615 Esplanade Way
Yuba City, CA 95993-1010

Mailing address

1615 Esplanade Way
Yuba City, CA 95993-1010
Phone (530) 674-1129

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1871428987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 ESPLANADE WAY",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959931010",
            "telephone_number": "530-674-1129",
            "fax_number": "530-674-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 ESPLANADE WAY",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959931010",
            "telephone_number": "530-674-1129",
            "fax_number": "530-674-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "GOINES",
        "authorized_official_first_name": "AIDA",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "530-635-7585",
        "authorized_official_credential": "HOME"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.