1St Independence Llc

LBN: 1St Independence Llc
1St Independence Llc is an health care organization with primary practice located at 3314 N Bouvier St , Philadelphia PA 19140-4921. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is the primary health care specialty. 1St Independence Llc can be contacted via phone (215) 278-9237, or through Randolph, Jadan Monae via phone (856) 813-6379.

Contact Information

Primary practice address
3314 N Bouvier St Philadelphia PA 19140-4921
Fax:
Website:
Authorized official contact:
Name: Randolph, Jadan Monae

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1083213573
LBN Legal business name 1St Independence Llc
DBA Doing business as
Authorized official Randolph, Jadan Monae
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2020
Last updated Jul 7th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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