# INDEPENDENCE HOME CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699061127
- **Authorized official:** BRIAN JOSEPH NOWELL C.N.A., C.M.A. (PRESIDENT AND C.E.O.)
- **Authorized official phone:** (949) 338-2587

## Contact information

- **Practice address:** 4500 CAMPUS DR, SUITE \#318, NEWPORT BEACH, CA 92660-1814
- **Practice address phone:** (949) 357-6121
- **Practice address fax:** (949) 209-1981
- **Mailing address:** 4500 CAMPUS DR, SUITE \#318, NEWPORT BEACH, CA 92660-1814
- **Mailing address phone:** (949) 357-6121
- **Mailing address fax:** (949) 209-1981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | BT30035858 | CA | Yes |

## Other

- **Enumeration date:** 06/23/2011
- **Last updated:** 06/23/2011