Organization
INDEPENDENCE AT HOME HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E SAFONOV (OWNER/PRESIDENT)
(479) 208-3757
Entity
Organization
Contact information
Practice address
2711 OAK LANE STE 2, VAN BUREN, AR 72956-8806
(479) 316-0273
(479) 208-4098
Mailing address
PO BOX 6292, VAN BUREN, AR 72956-0241
(479) 208-3757
(479) 208-4098
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232603732
—
AR
Enumeration date
04/15/2019
Last updated
10/17/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us