{
"Npi": {
"NPI": "1205194222",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "INDEPENDENCE HOME CARE, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "707 W 700 S STE 201",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WOODS CROSS",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84087-1458",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-298-1100",
"MailingAddressFaxNumber": "801-298-1988",
"FirstLinePracticeLocationAddress": "707 W 700 S STE 201",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WOODS CROSS",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84087-1458",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "801-298-1100",
"PracticeLocationAddressFaxNumber": "801-298-1988",
"EnumerationDate": "04/27/2012",
"LastUpdateDate": "12/12/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WEBB",
"AuthorizedOfficialFirstName": "JOHNSON",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MANAGING PARTNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "801-698-9874",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}