Provider Demographics
NPI:1285285734
Name:INDEPENDENCE CARE OF NEW HAMPSHIRE LLC
Entity type:Organization
Organization Name:INDEPENDENCE CARE OF NEW HAMPSHIRE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:VIAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-733-1135
Mailing Address - Street 1:10 FERRY ST STE 408
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5019
Mailing Address - Country:US
Mailing Address - Phone:917-733-1135
Mailing Address - Fax:
Practice Address - Street 1:10 FERRY ST STE 408
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5019
Practice Address - Country:US
Practice Address - Phone:917-733-1135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-26
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care