Organization Active NPI

Restored Independence Homecare LLC

Doing business as Restored Independence Homecare

  • Home Health Agency
  • Jamestown, ND
National Provider Identifier
1912414129
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RESTORED INDEPENDENCE HOMECARE LLC
Doing business as
Restored Independence Homecare
Practice address
300 2ND Ave NE Ste 224
Jamestown, ND 58401-3373
Phone
(701) 248-4232
Fax
(701) 248-4233
NPI assigned
Jan 9, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Shameka Joy Landrum
Title
President
Phone
(701) 712-1286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

300 2ND Ave NE Ste 224
Jamestown, ND 58401-3373

Mailing address

300 2ND Ave NE Ste 224
Jamestown, ND 58401-3373
Phone (701) 248-4232

Other identifiers 1

IdentifierTypeStateIssuer
1473354MedicaidND

Other names 1

  • Restored Independence Homecare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1912414129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 2ND AVE NE STE 224",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013373",
            "telephone_number": "701-248-4232",
            "fax_number": "701-248-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND AVE NE STE 224",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013373",
            "telephone_number": "701-248-4232",
            "fax_number": "701-248-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED INDEPENDENCE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LANDRUM",
        "authorized_official_first_name": "SHAMEKA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-712-1286"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1473354",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restored Independence Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.