Provider Demographics
NPI:1609569433
Name:RETURN TO INDEPENDENCE LLC
Entity Type:Organization
Organization Name:RETURN TO INDEPENDENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LACEY
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-597-8421
Mailing Address - Street 1:12031 25TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:TX
Mailing Address - Zip Code:77510-2001
Mailing Address - Country:US
Mailing Address - Phone:832-597-8421
Mailing Address - Fax:
Practice Address - Street 1:12031 25TH ST
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:TX
Practice Address - Zip Code:77510-2001
Practice Address - Country:US
Practice Address - Phone:832-597-8421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health