Provider Demographics
NPI:1184016057
Name:ASSISTING INDEPENDENCE
Entity Type:Organization
Organization Name:ASSISTING INDEPENDENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-453-1644
Mailing Address - Street 1:6135 LAKESIDE DR
Mailing Address - Street 2:#127
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-8504
Mailing Address - Country:US
Mailing Address - Phone:775-453-1644
Mailing Address - Fax:775-746-0767
Practice Address - Street 1:6135 LAKESIDE DR
Practice Address - Street 2:#127
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-8504
Practice Address - Country:US
Practice Address - Phone:775-453-1644
Practice Address - Fax:775-746-0767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7865PCS-0253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV7865PCS-0OtherNEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES