Provider Demographics
NPI:1760811467
Name:ASSISTED INDEPENDENCE
Entity Type:Organization
Organization Name:ASSISTED INDEPENDENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:913-980-4769
Mailing Address - Street 1:2446 N 155TH TER
Mailing Address - Street 2:
Mailing Address - City:BASEHOR
Mailing Address - State:KS
Mailing Address - Zip Code:66007-9214
Mailing Address - Country:US
Mailing Address - Phone:913-980-4769
Mailing Address - Fax:
Practice Address - Street 1:2446 N 155TH TER
Practice Address - Street 2:
Practice Address - City:BASEHOR
Practice Address - State:KS
Practice Address - Zip Code:66007-9214
Practice Address - Country:US
Practice Address - Phone:913-980-4769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care