INDEPENDENCE HOME REMODELING (NPI# 1568622017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568622017 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE HOME REMODELING |
| Practice Address |
16035 N 23rd Pl Phoenix AZ 85022-3427 |
| Practice Telephone | 6029083380 |
| Mailing Telephone | 6029083380 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | MR. MICHAEL K RYAN (PRESIDENT) |
| Authorized Official Telephone | 6029083380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | ROC# 246007 | AZ | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDEPENDENCE HOME REMODELING I | 6031 W Grovers Ave, Glendale, AZ 85308-1103 |
| Street Address |
16035 N 23RD PL |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85022-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
| 1215455498 | Kristi Etchechury | Occupational Therapy Assistant | 807 East Beck Lane, Phoenix, AZ 85022 | 2017-09-07 |
| 1871017103 | Julie Dale | Physical Therapist | 1910 E Kathleen Rd, Phoenix, AZ 85022 | 2017-07-28 |
| 1669994539 | Valley Wellness Center Pllc | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022 | 2017-07-12 |
| 1386001758 | Debbie Mulder | Behavioral Analyst | 2400 West Dunlap Ave., Suite 100, Glendale, AZ 85022 | 2016-01-15 |
| 1114383437 | Jean Fay King | Nurse Practitioner | 15409 N. 23rd St., Phoenix, AZ 85022 | 2016-01-04 |
| 1093050767 | Cheyanne Wilderness Gastelum | Midwife | 2236 E. Delgado St., Phoenix, AZ 85022 | 2012-12-06 |
| 1760731236 | Nicole Ann Raus | Occupational Therapy Assistant | 15414 N. 7th Street, Suite 3, Phoenix, AZ 85022 | 2012-08-30 |
| 1144593211 | Edward Najeeb Abraham | Family Medicine | 14419 N. 5th Place, Phoenix, AZ 85022 | 2012-02-20 |
| 1942506019 | Mirnes Mehic | Assisted Living Facility | 2018 E. Wagoner Rd., Phoenix, AZ 85022 | 2011-02-07 |
| Find all providers in zip 85022 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080238 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3807 N 7th St Ste P, Phoenix, AZ 85014-5005 | 2020-10-15 |
| 1528675469 | Antelope Works, LLC | Durable Medical Equipment & Medical Supplies | 2601 N 3rd St Ste 200, Phoenix, AZ 85004-1145 | 2020-09-24 |
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1013536630 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 10844 N 23rd Ave Ste P125, Phoenix, AZ 85029-4924 | 2020-04-14 |
| 1376162073 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4136 North 75th Ave, Suite 116, Room P, Phoenix, AZ 85033 | 2020-04-13 |
| 1689293367 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1515 E Osborn Rd Ste P1, Phoenix, AZ 85014-5309 | 2020-04-13 |
| 1619596319 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1840 N 95th Ave Ste 132p, Phoenix, AZ 85037-4445 | 2020-04-13 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1659915908 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2311 W Royal Palm Rd Ste P, Phoenix, AZ 85021-4916 | 2019-10-30 |
| 1255972295 | Arizona Dental Health Partners LLC | Durable Medical Equipment & Medical Supplies | 3134 W Carefree Hwy Ste 9, Phoenix, AZ 85086-4001 | 2019-10-01 |
| Find all providers in PHOENIX | ||||
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| 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.