Organization Active NPI

Your Independence Inc

  • Home Health Agency
  • Akron, OH
National Provider Identifier
1982968301
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7706870 Issued in OH
Legal business name
YOUR INDEPENDENCE INC
Practice address
1557 Vernon Odom Blvd
104
Akron, OH 44320-4061
Phone
(866) 287-4157
Fax
(330) 983-9494
NPI assigned
Jun 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Authorized official

Name
Ms. Jessica K Jones
Title
Ceo
Phone
(866) 287-4157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7706870 OH Primary

Addresses

Primary practice location

1557 Vernon Odom Blvd
104
Akron, OH 44320-4061

Mailing address

1557 Vernon Odom Blvd
104
Akron, OH 44320-4061
Phone (866) 287-4157

Other identifiers 1

IdentifierTypeStateIssuer
2760650MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1982968301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 VERNON ODOM BLVD",
            "address_2": "104",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204061",
            "telephone_number": "866-287-4157",
            "fax_number": "330-983-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 VERNON ODOM BLVD",
            "address_2": "104",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204061",
            "telephone_number": "866-287-4157",
            "fax_number": "330-983-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR INDEPENDENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-287-4157",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "7706870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2760650",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.