Independent Life Home Care & Staffing Solutions LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

INDEPENDENT LIFE HOME CARE & STAFFING SOLUTIONS LLC

Practice address

2 Old Orchard LN
Mountain Top, PA 18707-1741

Phone

(570) 793-4280

NPI assigned

Apr 19, 2016

Organization subpart

No

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

Authorized official

Name

Geraldine Vickers, CRNPNPI 1194147512

Title

Director/Ceo

Phone

(570) 793-4280

Specialties & licenses 2

Addresses

Practitioners 1

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

• Geraldine Vickers, CRNP

  • Family Nurse Practitioner
  • Miramar, FL
  • NPI 1194147512
  NPD (past) Authorized official

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1902250608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OLD ORCHARD LN",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071741",
            "telephone_number": "570-793-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OLD ORCHARD LN",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071741",
            "telephone_number": "570-793-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIFE HOME CARE & STAFFING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "570-793-4280",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan W Herbst, MSW, LCSW
• Christopher R. Holtz, D.O.
• Keefer Hoover
• Micahel John Humen, ATC, MED
• Bryanna Hurn, FNP-C
• Irene Lucas M.D.
• Ann Louise Jardine, CLINICAL SOCIAL WORK
• Nancy Jeffery, OTR/L
• John a Hosage DDS
• James Joseph Johns DDS Jr., DDS

• Nursing Care Agency in Mountain Top, PA
• Providers in Mountain Top, PA by specialty
• Nursing Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.