# INDEPENDENT CARE AGENCY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** FirstLight Home Care North Dallas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861047904
- **Authorized official:** STEPHANIE G JOHNSON RN (OWNER/ADMISTRATOR)
- **Authorized official phone:** (815) 701-8389

## Contact information

- **Practice address:** 888 S GREENVILLE AVE STE 207, RICHARDSON, TX 75081-5044
- **Practice address phone:** (815) 701-8389
- **Mailing address:** 322 CANYON VALLEY DR, RICHARDSON, TX 75080-1934
- **Mailing address phone:** (815) 701-8389
- **Mailing address fax:** (224) 206-8672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/06/2019
- **Last updated:** 08/06/2019