Provider Demographics
NPI:1851793897
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 1:1325 AIRMOTIVE WAY
Mailing Address - Street 2:#205
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3201
Mailing Address - Country:US
Mailing Address - Phone:775-453-1644
Mailing Address - Fax:
Practice Address - Street 1:1325 AIRMOTIVE WAY
Practice Address - Street 2:#205
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3201
Practice Address - Country:US
Practice Address - Phone:775-453-1644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
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
NV1003234295Medicaid
NV7865PCS-0OtherDEPT OF HEALTH & HUMAN SVCS