NPIMap

Organization Active NPI

Independence, Inc

  • Case Management Agency
  • Idaho Falls, ID
National Provider Identifier
1962525717
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
INDEPENDENCE, INC
Practice address
1230 N Skyline Dr Ste a
Idaho Falls, ID 83402-1769
Phone
(208) 524-0881
Fax
(208) 524-0886
NPI assigned
Apr 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Diane Elaine Moore, LSW
Title
Administrator
Phone
(208) 524-0881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X ID Primary

Addresses

Primary practice location

1230 N Skyline Dr Ste a
Idaho Falls, ID 83402-1769

Mailing address

1230 N Skyline Dr Ste a
Idaho Falls, ID 83402-1769
Phone (208) 524-0881

National Provider Directory

National Provider Directory
Tax ID family
Independence Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1230 N Skyline Dr
Ste A
Idaho Falls, ID 83402
Phone (208) 524-0881

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962525717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 N SKYLINE DR STE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834021769",
            "telephone_number": "208-524-0881",
            "fax_number": "208-524-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 N SKYLINE DR STE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834021769",
            "telephone_number": "208-524-0881",
            "fax_number": "208-524-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-524-0881",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.