Independence At Home Homecare, Llc
LBN: Independence At Home Homecare, Llc
Independence At Home Homecare, Llc is an health care organization with primary practice located at 2711 Oak Lane Ste 2 , Van Buren AR 72956-8806. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / In Home Supportive Care, Respite Care Facility / Respite Care, Physical Disabilities, Child. Agencies / In Home Supportive Care is the primary health care specialty.
Independence At Home Homecare, Llc can be contacted via phone (479) 316-0273, or through Safonov, John E via phone (479) 208-3757.
Contact Information
Primary practice address
2711 Oak Lane Ste 2
Van Buren AR 72956-8806
Phone: (479) 316-0273
Fax: (479) 208-4098
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Case Management | 251B00000X | ||
Agencies / In Home Supportive Care | 253Z00000X | ||
Respite Care Facility / Respite Care, Physical Disabilities, Child | 385HR2065X |
Profile Details
NPI number | 1013570274 |
---|---|
LBN Legal business name | Independence At Home Homecare, Llc |
DBA Doing business as | |
Authorized official | Safonov, John E |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 15th, 2019 |
Last updated | Oct 17th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013570274 | NPPES |
Arkansas | MEDICAID | 232603732 |
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