INDEPENDENCE AT HOME (NPI# 1063750735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063750735 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE AT HOME |
| Practice Address |
910 Avenue F Gothenburg NE 69138-2060 |
| Practice Telephone | 3085374332 |
| Practice Fax Number | 3085374335 |
| Mailing Telephone | 3085374332 |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | IRENE BRITT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3082581914 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 224ZR0403X |
Occupational Therapy Assistant Specialization: Driving and Community Mobility |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 1699267864 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3335 W Capital Ave, Grand Island, NE 688031334 | 3083829255 | |
| 124 W 25th St Ste B4, Kearney, NE 688474473 | 3087082392 | |
| 2350 Five Rocks Rd, Gering, NE 693416401 | 3086337025 | 3086337026 |
| 109 E 2nd St Ste 3, North Platte, NE 691015474 | 3082216073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235796632 | Independence At Home | Home Health | 401 Market St, Rear, Johnstown, PA 15901 | 2019-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | INDEPENDENCE AT HOME INC. | 1205 W 78th Street, Indianapolis, IN 46260 |
| Vermont Business Registrations | INDEPENDENCE AT HOME, LLC | 10 Langdon Street, #2, Montpelier, VT 05602 |
| New York State Corporations | INDEPENDENCE AT HOME-PHYSICIAN HOUSE CALLS FOR THE HOMEBOUND, P.C. | 501 Main Street, Roosevelt Island, Ny 10044 |
| Street Address |
910 AVENUE F |
| City | GOTHENBURG |
| State | NE |
| Zip Code | 69138-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922648583 | Debra Turner | Peer Specialist | 910 Avenue F, Gothenburg, NE 69138-2060 | 2020-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215235023 | Gottenburg Senior Living, LLC | Assisted Living Facility | 110 20th Street, Gothenburg, NE 69138 | 2011-03-02 |
| 1215108758 | Shopko Stores Operating Co LLC | Pharmacy | 718 4th Street, Gothenburg, NE 69138 | 2008-03-12 |
| 1013047810 | Randal E Strohmyer | Dentist | 513 10th Street, Gothenburg, NE 69138 | 2007-03-07 |
| 1225177652 | Brenda Hiebner | Counselor | 815 Lake Ave, Gothenburg, NE 69138 | 2007-02-05 |
| 1790887917 | Royce Lydell Hiebner | Chiropractor | 417 9th St, Gothenburg, NE 69138 | 2006-09-01 |
| 1649652306 | Kayla S Knauss | Family Medicine | 918 20th St, Gothenburg, NE 69138 | 2015-06-18 |
| 1427499854 | Wendy Hunt Most | Counselor | 41190 Road 768, Gothenburg, NE 69138-1189 | 2013-07-14 |
| 1588022180 | Life Transitions LLC | Counselor | 41190 Road 768, Gothenburg, NE 69138-1189 | 2016-02-10 |
| 1871566695 | Garret T Shaw | Family Medicine | 918 20th St, Gothenburg, NE 69138-1237 | 2006-02-10 |
| 1750352480 | Amy S Mahar | Physician Assistant | 918 20th Street, Gothenburg, NE 69138-1237 | 2006-01-31 |
| Find all providers in zip 69138 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770191272 | Restoration Therapy | Community/Behavioral Health | 6648 Charles St, Omaha, NE 68132-1136 | 2020-07-21 |
| 1538785126 | Michaella Nicole Arnold | Community/Behavioral Health | 5539 S 27th St Ste 204, Lincoln, NE 68512-1600 | 2020-06-19 |
| 1174156541 | Wininger Counseling LLC | Community/Behavioral Health | 11414 W Center Rd Ste 315, Omaha, NE 68144-4420 | 2020-02-13 |
| 1629575436 | New Beginnings Family Services LLC | Community/Behavioral Health | 620 N Webb Rd, Grand Island, NE 68803-4049 | 2018-04-09 |
| 1629579693 | Thrive Counseling, LLC | Community/Behavioral Health | 403 Lilly St, Wood River, NE 68883-2109 | 2018-02-26 |
| 1245742006 | Parent To Parent Network Inc. | Community/Behavioral Health | 328 W Norfolk Ave, Norfolk, NE 68701-5233 | 2017-11-01 |
| 1114439353 | Families Inspiring Families | Community/Behavioral Health | 1645 N St, Lincoln, NE 68508-1824 | 2017-10-27 |
| 1861902405 | Adriana Niemann Counseling,l.l.c. | Community/Behavioral Health | 4610 N 126th Ave, Omaha, NE 68164-6901 | 2017-10-10 |
| 1508381435 | Louie Taquiqui | Community/Behavioral Health | 3566 Tundra Swan St, Las Vegas, NE 89122 | 2017-08-11 |
| 1578086294 | Nebraska Family Support Network | Community/Behavioral Health | 3568 Dodge St Ste 2, Omaha, NE 68131 | 2017-07-25 |
| Find all providers with the same taxonomy | ||||
| City | GOTHENBURG |
| Zip Code | 69138 |
Please comment or provide details below to improve the information on INDEPENDENCE AT HOME.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.