INDEPENDENCE AT HOME HOMECARE, LLC (NPI# 1013570274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013570274 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE AT HOME HOMECARE, LLC |
| Practice Address |
2329 Zion Rd Van Buren AR 72956-8806 |
| Mailing Address |
Po Box 6292 Van Buren AR 72956-0241 |
| Practice Telephone | 4792083757 |
| Practice Fax Number | 4792084098 |
| Mailing Telephone | 4792083757 |
| Mailing Fax Number | 4792084098 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | JOHN E SAFONOV (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4792083757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
Respite Care Facility | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 232603732 | 05 |
| Street Address |
2329 ZION RD |
| City | VAN BUREN |
| State | AR |
| Zip Code | 72956-8806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092597 | Fort Smith Regional Dialysis Center, LLC | Clinic/Center | 256 Northridge Drive E, Van Buren, AR 72956 | 2020-08-06 |
| 1831678507 | Baptist Health Services | Family Medicine | 209 Pointer Trl W Ste A, Van Buren, AR 72956 | 2018-08-13 |
| 1235618992 | Baptist Health Services | Pediatrics | 209 Pointer Trl W Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1225517030 | Baptist Heath Services | Family Medicine | 14 Gothic Ridge Rd Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1255810206 | Baptist Health Services | Family Medicine | 14 Gothic Ridge Rd Ste A, Van Buren, AR 72956 | 2018-08-10 |
| 1407371339 | Allison Frazier | Speech-Language Pathologist | 2221 Pointer Trail East, Van Buren, AR 72956 | 2017-08-11 |
| 1225443104 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2015 Fayetteville Road, Van Buren, AR 72956 | 2014-06-30 |
| 1629326210 | Natalie N. Fink | Speech-Language Pathologist | 1109 Fayetteville Rd., Van Buren, AR 72956 | 2012-08-29 |
| 1538490271 | Ronald Joel Yukon | Chiropractor | 2731 Rudy Road, Van Buren, AR 72956 | 2010-01-20 |
| 1568799864 | Fritzie Suggs | Occupational Therapist | 2233 Alma Hwy, Suite C, Van Buren, AR 72956 | 2009-11-06 |
| Find all providers in zip 72956 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114156551 | Micheal Desplaines | In Home Supportive Care | 113 St Francis St, Van Buren, ME 04785-1071 | 2009-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727613 | Arkansas 1st Class Consumer Directed Services LLC | In Home Supportive Care | 825 E Main St Ste I, Blytheville, AR 72315-2599 | 2020-10-15 |
| 1548877574 | Rest Assured Home Care LLC | In Home Supportive Care | 222 Rivendale Dr, West Fork, AR 72774-3208 | 2020-09-24 |
| 1366058570 | Brooke Mcdowell | In Home Supportive Care | 8321 Edmar Pl, North Little Rock, AR 72117-1576 | 2020-09-22 |
| 1891312781 | Tgmae Seven Services, LLC | In Home Supportive Care | 3312 Jeridon Cv, Jonesboro, AR 72404-8196 | 2020-06-26 |
| 1467078725 | Seek Him Enterprises LLC | In Home Supportive Care | 5552 Village Dr, Benton, AR 72019-9466 | 2020-06-23 |
| 1245850023 | Diamond State Personal Care, Inc. | In Home Supportive Care | 240 Skyline Dr Ste 301, Conway, AR 72032-2810 | 2020-04-21 |
| 1326671777 | Village Angels, Inc | In Home Supportive Care | 198 Carmona Rd Ste 12, Hot Springs Village, AR 71909-2919 | 2020-02-13 |
| 1679113583 | Dm Parks Inc., Dba Comfort Keepers | In Home Supportive Care | 5068 N Arkansas Ave, Russellville, AR 72802-8325 | 2020-01-08 |
| 1285279703 | Love & Care Home Care Services LLC | In Home Supportive Care | 229 Lonsdale Cir, Jacksonville, AR 72076-6323 | 2019-11-07 |
| 1609419076 | Luvenia Blair | In Home Supportive Care | 13605 Hansfield Cir, North Little Rock, AR 72117-5366 | 2019-10-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.