Provider Demographics
NPI:1427576115
Name:INDEPENDENCE ASSISTANCE, LLC
Entity Type:Organization
Organization Name:INDEPENDENCE ASSISTANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FLEMENS
Authorized Official - Middle Name:
Authorized Official - Last Name:CASIMIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-305-8006
Mailing Address - Street 1:795 NW 127TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-4413
Mailing Address - Country:US
Mailing Address - Phone:305-305-8006
Mailing Address - Fax:
Practice Address - Street 1:795 NW 127TH AVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-4413
Practice Address - Country:US
Practice Address - Phone:305-305-8006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management