Provider Demographics
NPI:1396096848
Name:INDEPENDENCE HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:INDEPENDENCE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR OF NURSING/LPN
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITTENY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:740-506-0020
Mailing Address - Street 1:117 W MAIN ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3799
Mailing Address - Country:US
Mailing Address - Phone:740-653-6400
Mailing Address - Fax:740-653-6700
Practice Address - Street 1:117 W MAIN ST
Practice Address - Street 2:SUITE 110
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3799
Practice Address - Country:US
Practice Address - Phone:740-653-6400
Practice Address - Fax:740-653-6700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health