NPI 1013570274

Independence at Home Homecare, LLC

Organisation In Home Supportive Care Agency Van Buren, AR

Practice location

Address: 2711 Oak Lane STE 2, Van Buren, AR 72956-8806
Phone: (479) 316-0273
Fax: (479) 208-4098
Mailing address: PO Box 6292, Van Buren, AR 72956-0241

Authorised official

Name: John E Safonov
Title: Owner/President
Phone: (479) 208-3757

Registered specialties (3)

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Child Physical Disabilities Respite Care

Respite Care Facility Taxonomy 385HR2065X

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Registry record

NPI: 1013570274
Entity type: Organization
NPI issued: 15 Apr 2019
Record last updated: 17 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.