1ST Independence LLC
In Home Supportive Care in Philadelphia, Pennsylvania
1083213573- Practice location
- 3314 N Bouvier St, Philadelphia, PA 19140-4921
- Phone
- 215-278-9237
- Fax
- —
- Last updated
- July 7, 2021
1ST Independence LLC is a healthcare organization based in Philadelphia, PA. The NPI number for 1ST Independence LLC is 1083213573. The current practice location address is 3314 N Bouvier St, Philadelphia, PA 19140-4921 and the office can be reached by phone at 215-278-9237. The NPI was assigned on October 26, 2020 and the record was last updated in NPPES on July 7, 2021.
●Provider Profile Details
- NPI Number
- 1083213573
- Provider Name
- 1ST Independence LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- In Home Supportive Care · 253Z00000X
- Organization Subpart
- No
- Authorized Official
- Jadan Monae Randolph · Owner · 856-813-6379
- Enumeration Date
- October 26, 2020
- Last Update Date
- July 7, 2021
- Certification Date
- July 7, 2021
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 3314 N Bouvier St
Philadelphia, PA 19140-4921 - City
- Philadelphia
- State
- Pennsylvania
- ZIP
- 19140-4921
- Country
- US
- Phone Number
- 215-278-9237
✉Business Mailing Address
- Address
- 3314 N Bouvier St
Philadelphia, PA 19140-4921 - City
- Philadelphia
- State
- PA
- ZIP
- 19140-4921
- Phone Number
- 215-278-9237
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Home Health | 251E00000X | No | — | — |
| In Home Supportive Care | 253Z00000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Philadelphia →?Frequently Asked Questions
What is the NPI number of 1ST Independence LLC?
The NPI number of 1ST Independence LLC is 1083213573. It was assigned on October 26, 2020 and is currently active in the NPPES registry.
What is the specialty of 1ST Independence LLC?
1ST Independence LLC is registered under the primary taxonomy In Home Supportive Care (code 253Z00000X).
Where does 1ST Independence LLC practice?
The practice location is 3314 N Bouvier St, Philadelphia, PA 19140-4921. The office can be reached at 215-278-9237 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083213573 directly on the NPPES registry website at npiregistry.cms.hhs.gov.