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Contact Information

INDEPENDENCE AT HOME HOMECARE, LLC
2711 OAK LANE STE 2
VAN BUREN, AR72956-8806
 Phone: 479-316-0273
 Fax: 479-208-4098
 Website:
Indicates primary specialty

NPI Profile & details for INDEPENDENCE AT HOME HOMECARE, LLC

NPI # 1013570274
LBN Legal business name INDEPENDENCE AT HOME HOMECARE, LLC
Authorized official JOHN SAFONOV - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/15/2019
Last updated 10/17/2022 - About 4 years ago
Identifiers
AR Medicaid 232603732
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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