Provider Demographics
NPI:1205194222
Name:INDEPENDENCE HOME CARE, LLC
Entity type:Organization
Organization Name:INDEPENDENCE HOME CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHNSON
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-698-9874
Mailing Address - Street 1:707 W 700 S STE 201
Mailing Address - Street 2:
Mailing Address - City:WOODS CROSS
Mailing Address - State:UT
Mailing Address - Zip Code:84087-1458
Mailing Address - Country:US
Mailing Address - Phone:801-298-1100
Mailing Address - Fax:801-298-1988
Practice Address - Street 1:707 W 700 S STE 201
Practice Address - Street 2:
Practice Address - City:WOODS CROSS
Practice Address - State:UT
Practice Address - Zip Code:84087-1458
Practice Address - Country:US
Practice Address - Phone:801-298-1100
Practice Address - Fax:801-298-1988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-27
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health