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Contact Information

1ST INDEPENDENCE LLC
3314 N BOUVIER ST
PHILADELPHIA, PA19140-4921
 Phone: 215-278-9237
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for 1ST INDEPENDENCE LLC

NPI # 1083213573
LBN Legal business name 1ST INDEPENDENCE LLC
Authorized official JADAN RANDOLPH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2020
Last updated 07/07/2021 - About 5 years ago
Identifiers n/a
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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