Independence House

LBN: Independence Care Community Inc
Independence House is an health care organization with primary practice located at 1000 Independence Rd , Fostoria OH 44830. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Independence Care Community Inc can be contacted via phone (419) 435-8505, or through Gamby-Mundy, Bridgett M via phone (419) 435-8505.

Contact Information

Primary practice address
1000 Independence Rd Fostoria OH 44830
Phone: (419) 435-8505
Fax: (419) 435-0829
Website:
Map and Directions
Authorized official contact:
Name: Gamby-Mundy, Bridgett M
Phone: (419) 435-8505

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1951 Ohio

Profile Details

NPI number 1689673295
LBN Legal business name Independence Care Community Inc
DBA Doing business as Independence House
Authorized official Gamby-Mundy, Bridgett M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 15th, 2005
Last updated Jan 29th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689673295 NPPES
Ohio MEDICAID 0960189

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