INDEPENDENCE, INC. (NPI# 1518081223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518081223 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE, INC. |
| Practice Address |
1230 N Skyline Dr Ste. A Idaho Falls ID 83402-1720 |
| Mailing Address |
1230 N Skyline Ste. A Idaho Falls ID 83402 |
| Practice Telephone | 2085240881 |
| Practice Fax Number | 2085240886 |
| Mailing Telephone | 2085240881 |
| Mailing Fax Number | 2085240886 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DIANE ELAINE MOORE (ADMINISTRATOR) |
| Authorized Official Telephone | 2085240881 |
| Authorized Official Credential | LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | ID | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013031707 | Independence, Inc. | Community/Behavioral Health | 1230 N Skyline Dr, Ste. A, Idaho Falls, ID 83402-1720 | 2007-03-19 |
| 1588610273 | Independence, Inc. | Case Management | 1230 N Skyline, Ste A, 1230 N Skyline, Ste A, Idaho Falls, ID 83405 | 2006-05-25 |
| 1679767099 | Independence, Inc. | Home Health | 119 S Main St, Suite 500, Memphis, TN 38103-3647 | 2007-08-29 |
| Street Address |
1230 N SKYLINE DR STE. A |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83402-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013031707 | Independence, Inc. | Community/Behavioral Health | 1230 N Skyline Dr, Ste. A, Idaho Falls, ID 83402-1720 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
| 1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
| 1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
| 1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| Find all providers in zip 83402 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811292915 | Pearl Group Homes | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1740 E 17th St, Suite A, Idaho Falls, ID 83404-6375 | 2011-01-20 |
| 1356577019 | Grand Teton Service Group | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 Park Ave, Idaho Falls, ID 83402-3610 | 2009-06-08 |
| 1548496201 | Grand Teton Service Group | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 Park Ave, Idaho Falls, ID 83402-3610 | 2009-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336688233 | Novitas Academy | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2625 N Plaza Rd, Emmett, ID 83617-9128 | 2017-02-13 |
| 1174997878 | Zion's Management LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 470 Rigby Lake Dr., Rigby, ID 83442 | 2015-11-18 |
| 1548594328 | Home Again Icf | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2311 E Aruba Ave, Nampa, ID 83686-1292 | 2009-09-25 |
| 1962018564 | Access Behavioral Health Services, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1276 W River St, Boise, ID 83702-7066 | 2020-09-18 |
| 1346791944 | Renewed Horizons, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8252 N Wayne Dr, Hayden, ID 83835-5029 | 2016-10-18 |
| 1417163650 | The Arc, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4402 Albion St, Boise, ID 83705-1324 | 2007-05-15 |
| 1215143458 | The Arc, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4402 Albion St, Boise, ID 83705-1324 | 2007-05-15 |
| City | IDAHO FALLS |
| Zip Code | 83402 |
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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.