INDEPENDENCE TECHNOLOGIES (NPI# 1790960474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790960474 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE TECHNOLOGIES |
| Practice Address |
1725 W Reno St Broken Arrow OK 74012-1460 |
| Mailing Address |
2608 W Kenosha St Suite 622 Broken Arrow OK 74012-8952 |
| Practice Telephone | 9182495065 |
| Practice Fax Number | 9182495075 |
| Mailing Telephone | 9182495065 |
| Mailing Fax Number | 9182495075 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |
| Authorized Official Name | MR. KEVIN WAYNE PENTECOST (MANAGING MEMBER) |
| Authorized Official Telephone | 9182826111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333300000X | Emergency Response System Companies | Suppliers |
| Street Address |
1725 W RENO ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-1460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043495666 | Metro Security Systems L.L.C. | Emergency Response System Companies | 1725 W Reno St, Broken Arrow, OK 74012-1460 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 333300000X |
| Grouping | Suppliers |
| Classification | Emergency Response System Companies |
| A supplier of a personal emergency response system (PERS), which is an electronic device that enables a patient to receive emergency assistance when needed. The PERS is one of two different methodologies of notification: (1) where the patient summons emergency assistance themselves directly through the device or (2) emergency assistance is summoned through secure activation by the caretaker/guardian, which sends the device location to emergency responders. |
| Notes: Source: National Uniform Claim Committee, 2010 [7/1/2010: modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092340 | Larry Montgomery | Emergency Response System Companies | 1900 E Ithica St, Broken Arrow, OK 74012-1820 | 2020-08-07 |
| 1043495666 | Metro Security Systems L.L.C. | Emergency Response System Companies | 1725 W Reno St, Broken Arrow, OK 74012-1460 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922576669 | Seneca Cayuga Nation | Emergency Response System Companies | 24591 S 655 Rd, Grove, OK 74344-4015 | 2018-11-12 |
| 1134479850 | Companion Call Light, Inc. | Emergency Response System Companies | 408 Alpine Drive, Norman, OK 73072-5115 | 2012-09-11 |
| 1710940200 | Medical Services of America Inc | Emergency Response System Companies | 3803 W Main St, Durant, OK 74701-4568 | 2006-04-07 |
| 1871914754 | Imed Alert Systems LLC | Emergency Response System Companies | 1501 Se 4th St, Moore, OK 73160-8231 | 2013-12-19 |
| 1558638437 | Southern Oklahoma Lifeline LLC | Emergency Response System Companies | 107 W Main St, Ada, OK 74820-5401 | 2011-11-21 |
| City | BROKEN ARROW |
| Zip Code | 74012 |
Please comment or provide details below to improve the information on INDEPENDENCE TECHNOLOGIES.
| 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.